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No DE 9C Promotion Promotions/Guidelines

Posted: June 11, 2020 by Staff Writer

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

Copy of last month’s prior carrier bill is required for all products selected

Excludes virgin groups

New groups without prior coverage will need to submit DE9C or payroll records

Payroll records are required for employees not listed on the prior carrier bill

Blue Shield of California

Promotion:

Groups of 5+ enrolled with no end date

Copy of the Prior Carrier Bill required

Start-up groups, virgin groups, groups with both union and nonunion employees, and groups leaving a PEO are not eligible

Completed Attestation Form is required

Payroll will be required for eligible employees that are not listed on the group medical bill and a W-4 may be required for new hires

Underwriting reserves the right to request the wage and tax information (DE9C, payroll) whenever necessary to determine eligibility

 

CaliforniaChoice

Guideline:

Groups of 10+ medically enrolling employees

The most recent prior carrier bill is required

Groups with a variance of less than 10% between number of employees enrolling and number of employees on the prior carrier bill qualify

Virgin Groups are not eligible

Groups with a lapse of coverage of more than 3 months are not eligible

Health Net

HMO Package through 9/30/20

Quarterly Wage Report/DE9C not required for groups of 6+ enrolled through 9/30/20

6+ enrolled required. No further participation requirement

Participation Attestation Form, Prior Carrier Bill and Waivers are not required

Virgin Groups are eligible

The HMO package is separate from the Enhanced Choice A and B packages

Mix and Match any plans from the HMO networks

HSP and PPO plans do not qualify for this promotion

 

Kaiser Permanente

Promotion:

Quarterly Wage Report/DE9C not required for 6 or more enrolled with no end date

Business Documentation required (example: business license/SOI)

Start Up groups and groups leaving a PEO do not qualify for this promotion

UnitedHealthcare

Guideline:

Groups of 10+ eligible employees

Completed and Signed Participation Certification Form is required



 

This guide has been created as a quick reference and does not replace the full underwriting guidelines published by each carrier
Please refer to the carrier guidelines for additional information

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