Underwriting Guidelines

1) General Guidelines

Employer-Employee groups only
Minimum number of employees: 50
Specific deductibles available: $15,000 - $500,000
Maximum specific reimbursement: $1 million, alternative maximums on request
Maximum aggregate reimbursement: $1 million
Mandatory hospital pre-certification
Minimum employer participation:
- Non-contributory plans – 100%
- Contributory plans – 75%
- Competing HMO plan – 60%
No indemnity plans
10% minimum steerage between PPO and out-of-network
Commission compensation ranges between 0% to 15%

2) Product Options

Specific Claims Advancement and Monthly Aggregate Advancement available for smaller groups
Single/Family, Composite or Tiered rates and factors
Terminal liability option for specific and aggregate contracts
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.

All healthcare related industries and all municipalities
- 2 years of current experience and minimum specific deductible of $50,000
- Additional requirement for hospitals – domestic charges be limited to 80% of eligible billed charges
Mining
Oil and gas extraction
Meat packing plants
Tobacco products
Trucking, except local (Less than 250 miles, no overnight trips
Air transportation (Unscheduled)
Non-profits
Membership organizations
Long haul trucking

4) Ineligible Industries