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General Large Claim Notification Currently Fully Insured CurrentlySelf Funded

General Information
  • Firm information – company name, industry Type (SIC) and Headquarters location
  • Excel census including date of birth, sex and dependent status and employment status:  active, disabled, retired or COBRA participation.  The same information is needed for HMO participants.
  • Plan document/booklet and HMO schedule of benefits when applicable
  • Multi-location groups: number of employees at each location by zip
  • The employer’s contribution level
  • PPO network information
  • Carrier history for the past three years including TPA history when applicable along with rates, terms, monthly experience reports.

 

© USBenefits Insurance Services, LLC (USB)
DBA: Employer Stop Loss Insurance Services, LLC
(CA Only)

43 Corporate Park,   Suite 101, Irvine, California  92606
Please send all quote requests to:
quotes@usbins.net
and information requests to: info@usbins.net
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  (877) 877 - 4USB (4872)
(949) 468 - 3020
(866) 504 - 4USB (4872)
(949) 468 - 3029