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Underwriting
1)
General Guidelines
- Employer-Employee
groups only
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Minimum number of employees: 50
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Specific deductibles available: $15,000 - $500,000
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Maximum specific reimbursement: $1 million, alternative maximums
on request
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Maximum aggregate reimbursement: $1 million
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Mandatory hospital pre-certification
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Minimum employer participation:
- Non-contributory
plans – 100%
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Contributory plans – 75%
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Competing HMO plan – 60%
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No indemnity plans
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10% minimum steerage between PPO and out-of-network
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Commission compensation ranges between 0% to 15%
2)
Product Options
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Specific Claims Advancement and Monthly Aggregate Advancement
available for smaller groups
- Single/Family,
Composite or Tiered rates and factors
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Terminal liability option for specific and aggregate contracts
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Group life, AD&D, supplemental, and dependent life available
upon request
3) The
following industries require additional review. BEST Re will
consider reviewing these for underwriting on a case-by-case
basis.
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All healthcare related industries and all municipalities
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2 years of current experience and minimum specific deductible
of $50,000
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Additional requirement for hospitals – domestic charges
be limited to 80% of eligible billed charges
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Mining
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Oil and gas extraction
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Meat packing plants
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Tobacco products
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Trucking, except local (Less than 250 miles, no overnight trips
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Air transportation (Unscheduled)
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Non-profits
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Membership organizations
- Long
haul trucking
4)
Ineligible Industries
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Nursing homes
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Legal services
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Social services
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Municipalities or school districts in Texas
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Employee leasing
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