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The following
information is requested.
- Name, address, location,
and industry of group
- Effective date requested
and due date
- Description of current plan
and proposed plan, if different
- Requested Specific
deductible and current Specific deductible
- Requested claim basis for
Specific and Aggregate
- Complete census, indicating
any retirees, COBRAs, and HMO participants
- Employer Contribution
- Details of any individuals
exceeding 50% of the requested Specific during the past 12 months
- Details of any
disabilities, illnesses or claims expected to exceed 50% of the
Specific during the next plan year
- Experience: rates, claims
and enrollments for the current and prior two policy years
- Commission requirements
- Census Template; download and include with submission.
Send Quote Submissions
to: quotes@iisinet.com
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