{"id":1834,"date":"2023-11-17T20:34:02","date_gmt":"2023-11-17T20:34:02","guid":{"rendered":"https:\/\/alliantplans.com\/?post_type=article&#038;p=1834"},"modified":"2024-01-10T16:05:34","modified_gmt":"2024-01-10T16:05:34","slug":"new-groups-general-guidelines","status":"publish","type":"article","link":"https:\/\/alliantplans.com\/article\/new-groups-general-guidelines\/","title":{"rendered":"New Groups General Guidelines"},"content":{"rendered":"<style>.wp-block-kadence-advancedheading.kt-adv-heading1834_67159a-25, .wp-block-kadence-advancedheading.kt-adv-heading1834_67159a-25[data-kb-block=\"kb-adv-heading1834_67159a-25\"]{padding-top:var(--global-kb-spacing-md, 2rem);font-size:18px;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading1834_67159a-25 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading1834_67159a-25[data-kb-block=\"kb-adv-heading1834_67159a-25\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<h2 class=\"kt-adv-heading1834_67159a-25 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading1834_67159a-25\">GENERAL GUIDELINES FOR ALL NEW BUSINESS<\/h2>\n\n\n\n<ol style=\"color:#000000\" class=\"has-text-color wp-block-list\">\n<li>The company must conduct its business year-round and not be seasonal in nature. <\/li>\n\n\n\n<li>An employer\/employee relationship must exist for eligibility.<\/li>\n\n\n\n<li>Groups applying for coverage without a Federal ID number must produce evidence of legal business status. <\/li>\n\n\n\n<li>Eligible employees must be employed on a full-time basis with at least 30 hours per week.<\/li>\n\n\n\n<li>Employees must have earnings reported on a W-2.<\/li>\n\n\n\n<li>A Business Employee Eligibility Verification Statement must be completed for 2 subscriber employer groups that do not have earnings reported on a W-2.<\/li>\n\n\n\n<li>COBRA and disabled persons eligible for coverage must be included and noted in the census for rating purposes.<\/li>\n\n\n\n<li> Waiting periods cannot exceed 90 days.<\/li>\n\n\n\n<li>The employer must attest to the small group or large group status by signing the rating page. <\/li>\n\n\n\n<li>The rating page is an attachment to the group contract.<\/li>\n<\/ol>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading1834_a30d46-f4, .wp-block-kadence-advancedheading.kt-adv-heading1834_a30d46-f4[data-kb-block=\"kb-adv-heading1834_a30d46-f4\"]{font-size:18px;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading1834_a30d46-f4 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading1834_a30d46-f4[data-kb-block=\"kb-adv-heading1834_a30d46-f4\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<h2 class=\"kt-adv-heading1834_a30d46-f4 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading1834_a30d46-f4\">SMALL GROUP (2 to 50 full time equivalents)<\/h2>\n\n\n\n<p>In addition to the general guidelines for Small Groups the following apply: <\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Small group new business quoting is exclusively done through the broker portal on our website. A username and password are required. Please contact your Broker\/Client Relations Representative if you need access to the portal. <\/li>\n\n\n\n<li>The following information is needed: \n<ul class=\"wp-block-list\">\n<li>Employer address and zip code <\/li>\n\n\n\n<li>Effective date<\/li>\n\n\n\n<li>Census to include: Employees and dependents names, Gender, DOB, Contract Type <\/li>\n<\/ul>\n<\/li>\n\n\n\n<li> No coverage for retired or early retirees<\/li>\n<\/ol>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading1834_85c285-57, .wp-block-kadence-advancedheading.kt-adv-heading1834_85c285-57[data-kb-block=\"kb-adv-heading1834_85c285-57\"]{font-size:18px;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading1834_85c285-57 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading1834_85c285-57[data-kb-block=\"kb-adv-heading1834_85c285-57\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<h2 class=\"kt-adv-heading1834_85c285-57 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading1834_85c285-57\">LARGE GROUP (51 to 99 full time equivalents)<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The following information is needed: \n<ul class=\"wp-block-list\">\n<li>Census to include: Relationship (E, S, D), Last Name, First Name, Gender, DOB, Zip Code, DOH, PT\/FT Status, Contract Type (EE, ES, EC, Fam, Waiver, WP), Plan Election, COBRA. Electronic Excel spreadsheets preferred. <\/li>\n\n\n\n<li>Current and Renewal Benefit Summaries and Rates <\/li>\n\n\n\n<li>Completed Group Health Questionnaire <\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>No coverage for retired or early retirees<\/li>\n<\/ol>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading1834_616501-2e, .wp-block-kadence-advancedheading.kt-adv-heading1834_616501-2e[data-kb-block=\"kb-adv-heading1834_616501-2e\"]{font-size:18px;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading1834_616501-2e mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading1834_616501-2e[data-kb-block=\"kb-adv-heading1834_616501-2e\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<h2 class=\"kt-adv-heading1834_616501-2e wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading1834_616501-2e\">LARGE GROUP (100+ full time equivalents)<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>In addition to the 51 to 99 group size required data, the following information is needed: \n<ul class=\"wp-block-list\">\n<li>Medical and Rx monthly claims experience (24 months carriers reporting) <\/li>\n\n\n\n<li>Claims information over $25,000 per member with diagnosis, prognosis and status <\/li>\n\n\n\n<li>Renewal calculation exhibit with the rate adjustment<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading1834_4b8967-cf, .wp-block-kadence-advancedheading.kt-adv-heading1834_4b8967-cf[data-kb-block=\"kb-adv-heading1834_4b8967-cf\"]{font-size:18px;font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading1834_4b8967-cf mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading1834_4b8967-cf[data-kb-block=\"kb-adv-heading1834_4b8967-cf\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}<\/style>\n<h2 class=\"kt-adv-heading1834_4b8967-cf wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading1834_4b8967-cf\">SUBMISSION<\/h2>\n\n\n\n<p><strong> Ensure the following items are included when submitting a new sold group:<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Employer Group Enrollment Application<\/li>\n\n\n\n<li>Premium Rate Summary 3) Signed Group Health Care Contract <\/li>\n\n\n\n<li>Employee Enrollment Application and Change in Coverage Form <\/li>\n\n\n\n<li>Signed Group Health Care Contract<\/li>\n\n\n\n<li>If 4 or fewer employees are enrolling, a copy of Employer\u2019s Quarterly Tax and Wage Report 9DOL-4N) is required.<\/li>\n\n\n\n<li>First month\u2019s premium payment required with groups submission. Mail checks to: Alliant Health Plans, P.O. Box 2627, Dalton, Georgia 30722.<\/li>\n\n\n\n<li>Auto Pay Form (must be received and processed no later than the 15th of the month prior to the effective date, if elected).<\/li>\n<\/ol>\n","protected":false},"author":1,"featured_media":0,"parent":0,"template":"","meta":{"_acf_changed":false,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","_jet_sm_ready_style":"","_jet_sm_style":"","_jet_sm_controls_values":"","_jet_sm_fonts_collection":"","_jet_sm_fonts_links":"","footnotes":""},"tags":[],"article-categories":[61,41],"class_list":["post-1834","article","type-article","status-publish","hentry","article-categories-broker","article-categories-brokers"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.6 (Yoast SEO v26.6) - 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