Quoting large groups (100+ employees)
Here's how to request a large group quote for all health plans (including retiree coverage) from Priority Health:
- Complete and submit an Agent Agreement, if you haven't already. Download the agreement (600KB PDF).
- Have certain information ready when you call. Get a list of what information you need.
- Contact your region's sales representatives to request a large group proposal.
Is your group in our service area?
Required quoting information for large groups
Basic group & health plan info
We'll need some basic information about the group as well as their current health plan information to create a quote.
| General information | Current/competitive information |
|---|
- Group name (must be the company's legal name)
- Group locations (must include the group's headquarters)
- SIC code or type of business
- Policy effective date
|
- Census, which should include each member's:
- Gender
- Birth date
- Tier (single/double/family/waive coverage)
- Class (active, early retiree, 65+ retiree, COBRA)
- ZIP code
- Carrier
- Current rates and/or renewal rates
- Current benefits
|
Health plan history
In addition to what's listed above, we'll need detailed information about the group's specific history based on how it funds its health plan (see table below). Be sure to include your broker commission rates.
| Large group data requirements |
|---|
Information
(2 consecutive 12-month periods) |
Fully insured
community rated |
Fully insured
experience rated |
Shared funding |
Self-funded* |
| Monthly claims and enrollment |
Preferred |
Required |
Required |
Required |
| Large claims information |
Preferred |
Required |
Required |
Required |
| Specific and aggregate premiums |
N/A |
N/A |
Required |
Required |
3-year rate history
(prior, current, renewal) |
Required |
Required |
Required |
Required |
Diagnosis & prognosis reporting
|
Preferred
|
Required
|
Required
|
Required
|
Fixed costs
(administrative fees, network access fees, underwriting fees, etc.)
|
N/A |
Preferred
|
Required
|
Required
|
*Self-funded plan quotes may require more information. Contact your sales representative for more information.
