Resources & Forms

Underwriting

Quote Submission Requirements

  • Minimum Required Lives 51
  • Current Schedule of Benefits
  • Current PPO Network
  • Current and Renewal Rates
  • Current Census
  • Inforce and Requested Stop Loss Parameters
  • Large claims, monthly enrollment, and monthly claims for the last two plan years and current plan year
  • Details on large claimants in excess of 50% of the lowest requested specific deductible, including diagnosis and prognosis, as well as any ongoing treatment plans.

Medical Stop-Loss Features

  • All Contract Types (24/12, 15/12, 12/12, 12/15, etc.)
  • Specific Deductibles $25,000 to $1,000,000
  • Unlimited Specific Maximum
  • Specific Advance
  • Terminal Liability (Specific and Aggregate)
  • Monthly Aggregate Accommodation
  • No New Laser on Renewal (option)
  • Split Funding (Fixed or Percentage)
  • Policy Mirrors Plan Document (where available)
  • Aggregate Maximum $1,000,000; Higher options available
Clinical Risk Management
Claims Administration
Total Pharmacy Solution

Click for a downloadable summary of all Partners services.