Renewing fully-funded large groups
At about 120 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 120 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 120 days prior to renewal.
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 45 days before their renewal date to make a renewal decision.
The renewal packet contains:
- Renewal rates and any alternate benefit designs requested
- 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 schedule of copayments and deductibles and certificate riders. Mailed to group members.
- Member handbook - Mailed directly to members who have not previously received one. Only mailed to all members if the group has changed plans.
- ID cards - If the group makes a benefit change that requires a new member ID card, we will send new ID cards within 7 to 10 business days after the renewal is completed.
Group Medicare plan renewals
Submit group Medicare renewal notices to Priority Health 60 days before the group's effective date. This ensures we will meet the Center for Medicare and Medicaid Services (CMS) requirement that we send members their Annual Notice of Change (ANOC) 15 days before their open enrollment period.
