At about 90 days prior to the group's renewal date, we will send you all necessary paperwork and information. Here is what you should expect in this process:
- Prerenewal letter
We will mail the prerenewal letter to the group and/or agent at least 90 days before the renewal effective date so the group can verify its information. We can mail the letter sooner if the agent or group requests.
- Getting the renewal rates
Priority Health underwriters begin working on fully funded renewal
groups 75 days prior to renewal.
- We typically submit each renewal quote request to three reinsurers in order to get the most favorable renewal quotes for each client. You may also request a review by other reinsurance carriers.
- Reinsurance carriers review 10 months
of utilization information when creating renewal quotes.
- Renewal packets go out
Your group's Priority Health representative will deliver the renewal packets to you (the agent of record) 60 days prior to the group's renewal. The group then has until the 15th of month prior to the effective date to make a renewal decision.
The renewal packet contains:
- Renewal rates and any alternate benefit designs requested
- Utilization and other applicable reports
- Key contacts grid
- Renewal Verification form
- Any recent health care articles or literature for the employer group
- Submitting the renewal
After you and/or your group chooses a renewal option, your Priority Health representative will coordinate the necessary paperwork and forward it to either you or the group for signature. If forwarded to the group, you will receive a final signed copy for your records.
- Member materials
- Plan supporting documents - Includes Certificate of Coverage, policy, Summary of Plan Benefits, schedules of copayments and deductibles, certificate riders. Mailed to group members within 30 days of renewal.
- Member handbook - Mailed directly to members separately from the plan documentation.
- ID Cards - If the group makes a benefit change that affects the member ID card (for example, different office visit or ER copayment), we will send new ID cards to the entire group within 7 to 10 business days after the renewal is completed.
Contact the Agent Help Line with any questions.
Your group's representative will work
with you closely throughout the entire process.
Last modified
06/09/08
