BenefitMall Large Group (100+ Lives) Submission Process

This procedure outlines the eligibility requirements, submission documentation, and process for submitting large group (100+ employee lives) medical quote requests through BenefitMall.

For up to 50 EE submissions:

Benefit Mall Submission

For 51-100 EE lives Submissions:

Benefit Mall Submissions 51-100

1. Eligibility & Required Information

Important: Carriers do not provide base rates for 100+ FTE groups. Medically underwritten quotes require detailed and accurate documentation.

General Submission Requirements (Applies to All Carriers)

1. Full Census File:
   • Employee First & Last Name
   • Date of Birth (DOB)
   • Gender
   • Home ZIP Code
   • Work ZIP Code
   • Plan Election (if applicable)
   • Tier Election (EE, ES, EC, FF, W, Cobra)
   • All eligible employees must be included.
2. Claims Experience (24 months):
   • Monthly detail by plan type with corresponding monthly enrollment
3. High Claims Report:
   • Claims exceeding $25,000 during the same 24-month period (if applicable)
4. Stop Loss Experience (if applicable)
5. Current & Renewal Rates:
   • Must be submitted on carrier letterhead or official paper
6. Current & Proposed Plan Designs:
   • Must also be on carrier letterhead or official paper
7. Carrier History (Last 5 Years):
   • List of carriers used and number of years with each
8. Waiting Period for new hires
9. Employer Contribution toward premiums