Large Group: Submit for Proposal

Large / Enterprise Group

Proposal Requirements

500 + employees on the plan

Currently fully insured or self-funded

Securely submit to

  • Group Name / Address / SIC Code
  • Effective Date
  • Member level census with first and last names, gender, date of birth, full address, relationship (E, S, D), enrollment status, tier (E, ES, EC, FAM)
  • Current Renewal
  • Annual renewal premium
  • Claims data to finalize rates (if currently self-funded)
  • Large claims & monthly claims and enrollment reports for previous 3 years