Active Proposal
Please include the following information when possible to ensure the most accurate quote from the Stop Loss market.
Fields marked with an * are required
Once we receive your request for proposal we will reach out to the agent contact email to receive
- A Current Census
- The most recent 12 months of enrollment by contract (if currently Self-Funded)
- Current Plan Designs/Proposed Plan Designs
- Medical/Rx claims for the past 24 months (if currently Self-Funded) including large dollar claimants/case management notes and a 50% of Specific Report
- Medical/Rx rate history for the past 36 months (if currently Fully-Insured)