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General Information
Employer-Employee groups only
Minimum number of covered employees: 75,
or 60 lives if currently self-funded for 2 minimum of yrs subject to underwriters approval
Specific deductibles available: $25,000 to $500,000
Maximum specific reimbursement: $5 million
Maximum aggregate reimbursement: $1 million
Unlimited excess maximums available
Mandatory Hospital Pre-certification
Contract Types: 12/12, 12/15, 12/18, 15/12, 18/12*, and 24/12*
*Available with run-in limits
Minimum Employee Participation:
- Non-contributing Plans - 100%
- Contributing Plans - 75%
- HMO Involvement - 50%
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