Quoting Fully Insured

Product Grids: Groups 2-50

• Health Plan Product Offering - Package 10
• Health Plan Product Offering - Package 9

Product Grids: Groups 51-99

• Health Plan Product Offering - Package 10
• Health Plan Product Offering - Package 9

Enrollment Applications: Groups 2-50

• KS Employee Application 2-50
• KS Employer Application 2-50
• New Business Enrollment Spreadsheet (Excel)

Enrollment Applications: Groups 51-99

• KS Employee Application 51-99
• KS Employer Application 51-99
• New Business Enrollment Spreadsheet (Excel)
• Spanish - KS Employee Application 51-99

Sam Training Info: Groups 2-50

• SAM Enrollment Guide
• SAM Quoting Guide

Helpful Documents and Forms

• 1099 Form
• 2020 ATNE Group Survey
• Binder Check Cover Sheet
• Common Ownership Certification
• Direct Debit Authorization Form
• HSA Funding Application for Groups 2-99
• HSA Guidelines
• Instructions for Billing and Collection Agreement
• Locating SBCs on UnitedeServices
• Tax Document Guide

Product Grids: 2-50

• Health Plan Product Offering - Package 10
• Health Plan Product Offering - Package 9

Product Grids: 51-99

• Health Plan Product Offering - Package 10
• Health Plan Product Offering - Package 9

Enrollment Applications: Groups 2-50

• MO Employee Application 2-50
• MO Employer Application 2-50
• New Business Enrollment Spreadsheet (Excel)
• Spanish - MO Employee Application 2-50

Enrollment Applications: Groups 51-99

• MO Employee Application 51-99
• MO Employer Application 51-99
• New Business Enrollment Spreadsheet (Excel)

Sam Training Info: Groups 2-50

• SAM Quoting Guide
• SAM Enrollment Guide

Helpful Documents and Forms

• 1099 Form
• 2020 ATNE Group Survey
• Binder Check Cover Sheet
• Common Ownership Certification
• Direct Debit Authorization Form
• HSA Funding Application for Groups 2-99
• HSA Guidelines
• Instructions for Billing and Collection Agreement
• Locating SBCs on UnitedeServices
• Tax Document Guide