Funding Advantage Group Submissions

New guidelines for easier underwriting

Groups of 2-14 enrolled employees and virgin groups will require full individual health
questionnaires (IHQs). For groups of 15+ enrolled employees, typically there will be
no IHQs (as long as the required support materials are provided and the groups are not
virgin groups).

Groups 2-14 Requirements
​Including virgin groups

Minimum employee participation rate is 50% pre-waiver; no minimum dependent participation; no owners only

• A group census including all employees and dependents enrolling in coverage
• Medical employee enrollment form
• Current carrier bill (for non-virgin groups) that lists employees
• Full renewal packet for non-virgin groups
• 2-14 Plan sponsor statement
• Recent SQUTR, wage, tax or payroll register, preferably adjudicated

​Groups 15+ Requirements
For groups with existing coverage

Minimum employee participation rate is
50%; no minimum dependent participation

Database Underwritten Quotes

• Group census, including all employees and dependents enrolling in coverage
  
• Current carrier bill
• Full renewal packet including large claim information
  

Complete Submission

• Final enrollment census, including all demographic information for employees and dependents
• 15+ Plan sponsor statement including employer disclosure statement
• Experience and large claims reporting

For additional information, visit our Funding Advantage Resources & Forms page or contact Allied Sales Support at [email protected].

Funding Advantage Resources & Forms

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MEC Group Submissions
​

Here's what you need to get started:

• Minimum 5 employees required to enroll in the MEC plan.
• 100% participation and 100% employer
  contribution after valid waivers for
  MEC Basic option
• Optional buy-up options with no
  additional participation requirements
• Employer information (company name,
  SIC or industry and address)

Here's what you need to receive a proposal:

• Dependent level census (with first, last
  name, gender, DOB, relationship and
  coverage selection)
  
• Employer information (company name,
  SIC or industry and address

​For a full submission, we will also require an employer statement and may require other
details based on our discretion.