The Process
Work with your preferred benefits broker to participate in this new program.
Getting set up with a community health plan is actually quite simple … We’ve broken it down to three simple steps:
Ask Your Broker
Ask your Broker for a Community Health Plan quote and direct them to contact our organization. We explain the program to your Consultant and provide him/her with a preliminary presentation.
Underwriting
Groups remit their benefit summaries (SBC’s preferred), current and/or renewal rates if available, and a full member and dependent-level census (name, birthdate, gender, home zip). Your group is risk-scored and evaluated, then the firm offer is presented.
Implementation
We transition your company into the new health plan and your Broker cancels the other policy. You do not need to wait for your plan renewal to enter into this program. Staff receive welcome materials and ID cards and then communicate with the health plan Concierge Team to best utilize their plan.
Qualifying
Any employer with over 20 enrolled employees is eligible. Groups who are frustrated with the status quo and willing to adopt a better way forward are ideal partners for our health plan ecosystem.
Underwriting
Companies interested in participating in our health plan must qualify and pass through underwriting to determine viability as a participating employer.
Techniques
Census-Based Underwriting
Employers with 2 or more enrolled employees may remit a member-level census for all employees and dependents including full name, date of birth, gender, and home zip code to receive an illustrative rate. This quote can be made firm and final by employer signature and involvement only. We have several markets available for census-based underwriting, only!
Health Applications
Most of our products require NO health applications. At times, health statements are required for a select few members, which can be seamlessly completed online, at no cost to the broker or group.
Is The House always winning?
Wouldn’t it be nice to beat the house? That is what our health plan is designed to help you accomplish. By aligning yourself with our coalition, you only pay for what you need and win long-term.
Our insurance partners are committed to providing you with the most aggressive premiums available.