Sold
Case Requirements
The
sold case process consists of the following:
1.
Application Information
2.
Licensing Information
3.
Bound Case Information
Application
Information
When
an underwriter receives notification that a client has accepted
our quote, BEST Re will prepare and send the following to the
Producer / TPA:
-
A Formal Application
-
A New Case (or Renewal) Transmittal Form
-
A Plan Disclosure Statement
-
Licensing or Appointment Documents (if not already appointed or
approved)
These documents contain an overview of the coverage being sold,
provisional rates, coverage levels and other conditions under
which final underwriting will proceed.
Please
complete and return to BEST Re the following:
The Application
-
Must be signed by an authorized official of the Plan Sponsor AND
-
Must be signed by a licensed agent who is the “Agent of
Record”
-
Returned within 14 days from the Contract effective date
Plan Disclosure Statement
-
Purpose is to reveal plan participants who have incurred or have
potential to incur claims in excess of 50% of specific deductible
and identify all employees whether actively at work or not.
-
Must include employees, dependents, retirees and COBRA participants
-
Please submit within 15 days prior to the effective date
Signed
Plan Document
-
Signed by the authorized agent of the Plan Sponsor
-
Returned within 90 days of the Contract effective date
Premium
Deposit Check & Premium
Remittance Spreadsheet
- Returned
within 14 days from the Contract effective date
Licensing or Appointment Documents
- Agent
appointment - This is necessary if not previously appointed
or your appointment has changed.
-
Administrative Agreement
Census
based on actual enrollment, by location
Any
Underwriting requirements or required Claim Details including
Attending Physician Statements (APS) as outlined in the quote.
BEST
Re
Attention: Underwriting Department
PO Box 19721
Irvine, CA, 92623-97212 Licensing
All
TPAs, Broker firms or Individuals that handle policy service
or earn commission on business with BEST Re are required to submit
licensing information to the
Underwriting Department.
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