How to get a custom proposal for stop loss insurance
See the potential value of adding Aldwyn Re stop loss insurance to the RBP-powered health plan from Imagine360. Representatives are available to review in more detail at your request.
Requested Specific and Aggregate Deductible options
Requested Contract Basis (12/12, 12/15, etc.)
Optional requests to be added included: Aggregate Spec. Deductible (ASD), Commission or Broker Fee, Advanced Funding, No New Laser (NNL), Rate Cap, etc.
Current type of coverage (self-funded, level-funded, fully-insured)
Current Specific Deductible and Contract types, Premium, Aggregate Factors
Network Option: PPO or RBP
Current/Projected Lasers
Current Network/RBP Network savings report
Current/Renewal Rates
Renewal rate development, if available
Current and Prior Period Utilization reports, if available
What we’ll need from you:
Required data: DOB or Age, Hire Date, Gender, Zip code & Tier and Plan Election
Current Plan Document(s)
Summary of Benefits and Coverage (SBC), Benefit Summaries, Certificates
Benefit Outlines: i.e. CO-PAYs, DEDUCTIBLE, COINSURANCE, OUT-OF-POCKET, RX CO-PAYS (GENERIC, BRAND, NON-FORMULARY, MAIL ORDER)
Any amendments including any employer funded HSA like plans that would impact the operation of the underlying plan
Summary of plan changes during the experience period
Claims experience for the current contract year plus two full prior years
Monthly paid claims for both medical and prescription drugs
Monthly employee enrollment
Large claims listing – by individual with paid amount and diagnosis
Claim Detail reports, when available, including diagnoses and procedure codes – most self-funded customers