Bound Case Information

The sold case process consists of the following:

1. Application Information

2. Licensing Information

3. Bound Case Information

To issue the final rates, factors and terms of the Contract, BEST RE must receive the following:

• Signed Application

• Signed Disclosure Statement

• Signed Plan Document

• Premium Deposit Check & Premium Remittance Spreadsheet

All Licensing Requirements

Rates and factors are subject to possible revision based upon receipt and review of the following:

• Final census as of the effective date – Rates and factors may change if the census varies by more than +/- 10% from that quoted

• Claims experience to the effective date including monthly enrollment information.

• Large Claim Information (See Large Claim Information in Underwriting Section)

• Final Plan Document with signature page

• Any other information as required by the Underwriter

BEST RE
Attention: Underwriting Department
2700 West Cherry Lane, Suite 110
Meridian, ID 83642