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Underwriting

  • Underwriting

New Hire Rating Guide

/ Meyre Sizemore

Aetna New Hire rates will be based on the member’s age at the member’s enrollment date   Anthem BlueCross New Hire rates will be based on the member’s age at...
  • Underwriting

New Participation Guide for Dental

/ Heather Jung

As part of our continuing commitment to help you write more Dental business, we’ve developed a new California Dental Participation Guide. It summaries carrier and third party administrator (TPA) guidelines...
  • Underwriting

No DE 9C Promotion Promotions/Guidelines

/ Meyre Sizemore

Quarterly Wage Report/DE 9C not required for:   Aetna Guideline: Groups of 6+ enrolled with prior coverage   Anthem Blue Cross Promotion: Groups of 6+ enrolled through 9/15/2020 effective dates...
  • Underwriting

PEO Guidelines

/ Meyre Sizemore

In addition to meeting standard Underwriting Guidelines, groups must provide the following: Aetna Guideline for staying with a PEO (1) 1-5 enrolling: • Letter from the PEO confirming that they...
  • Underwriting

Valid Waivers

/ Meyre Sizemore

Aetna What is considered a Valid Waiver? Spousal Group Coverage Parental Group Coverage Enrolling as dependent in the group health plan Individual Coverage Medicare Medi-Cal TRICARE Anthem BlueCross What is...
  • Underwriting

Start-up Groups

/ Meyre Sizemore

Aetna Requirements Groups with 1-19 enrolled employees and groups with no existing health coverage must submit a copy of the most recently filed DE9C. If not available, two consecutive weeks...
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