Please include the following information with your proposal request:

• Census including Employees': Age, Gender, Dependent Coverage Status and Home Zip Code
• Current SPD or Plan Designs
• Minimum of 12 months of paid claims data by month
• Large Claim information including: Claim Amount, Age, Gender, Prognosis and Diagnosis
• Current pooling point (if currently fully-insured)
• Current Stop Loss fees and attachment points (if currently self-funded)
• Contract type along with requested Individual Stop Loss and Aggregate Stop Loss levels.

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