Under 200 Employees

• Premium rates currently in force and renewal rates
• Plan changes for the past three years, list and give effective dates
• Claims experience for the past three years
• Medical premium paid for the last three complete years

200 or More Employees

• Premium rates currently in force and renewal rates
• Plan changes for the past three years, list and give effective dates
• Enrollment and paid claims by month for the past three years.
• Medical premium paid for the last three years