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.

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.