SCSEBA Quote Information

1. Census - all benefits eligible employees including opt-outs
• DOB
• Gender
• Medical plan, Dental plan, Vision plan
• Coverage Type/Employee Rate Tier
• Cobra/including date enrolled
• Retiree (early and post 65)
  
  
2. Employer contribution formula (current and proposed)
   
   
3. Current renewal date and proposed rating period
   
   
4. Renewal, current, and historical rates (past 3 years)
   
   
5. Plan designs for current carriers
   
   
6. Requested plan design
   
   
7. Total number of employees
   
   
8. How many plans in the last 5 years
   
   
9. Large claims over $10,000 including diagnoses/dates of service
   
   
10. How many eligible employees are waiving coverage
    
    
11. Employer eligibility rules waiting period, hours worked per week, coverage offered to part-time employees and retirees
    
    
12. Experience reports for groups over 100 enrolled employees including claims, premium and membership by month for past 24 months