The effective date of coverage (1/1/2025) is acknowledged and accepted. Benefits should be payable based on the plan documents of the coverages being quoted and the Stop Loss contract should not supersede those plan documents of the quoted coverages Stop Loss Contract basis: Paid or 36/12 Stop Loss ISL options: $250,000, $275,000, $300,000, $325,000, $350,000, and $375,000. Include an overall composite rate covering all available medical plans. Please quote with and without TLO. Please quote specific coverage only Quote Medical and Rx Claim Coverage. Spec Advance Funding option. If there is a cost associated with it, please break it out in your proposal. Include Plan Mirroring option. If there is a cost associated with it, please break it out in your proposal. Vendor must waive any “actively-at-work provisions" Vendor must waive any late entrant penalties Run-in should not be limited Please include 12 months of run-out coverage in your rates Vendor must agree to no new lasers at renewal As part of your proposal response, please compare the employer’s current plan document, which has been included, to your proposed stop loss policy and identify any areas where there are gaps in coverage or include in your proposal a statement that you will mirror the employer’s plan document. Vendor must agree to release the stop loss renewal proposal within 120 days of expiration All fees / premiums are quoted NET of commissions; no commissions or fees are to be paid to any entity. Preliminary renewal rates must be submitted six months prior to the effective date. Vendor completed all sections of the workbook in their entirety, in the format requested. Vendor agrees to provide all communication materials in electronic (pdf) format. Vendor agrees to provide all standard reports to the client and its professional advisor.
