AZ Brokers: New Case Submission Rules for Groups of 1-100

Sending a friendly reminder to our business partners, Health Net is looking to you to ensure that the onboarding process for new groups is as seamless as possible.

 

To achieve this Health Net must receive the completed, signed, and dated submission documents by the dates set. If you are working with a General Agency (GA), then the GA may request the below information earlier in order to review the group and submit to Health Net by the submission deadlines indicated.

 

Below are documents that are required at the time of new case submission.

 

Groups 1-50

  • Live check, copy of check, or check by fax (first month’s premium)
  • Plan selections
  • Signed & completed Group Service Agreement (GSA) Application
  • All signed & completed Employee enrollment forms are to be retained by the GA, and all employee information submitted by Employee Census Enrollment sheet found on The Hub.
  • Arizona Tax & Wage Report (UC-018)

 

These items must be included by the submission cut-off date or will be moved to the next effective month. Click here to see the Small Group (1-50) New Business Submission Date Timeline.

 

Groups 51-100

  • Live check, copy of check, or check by fax (first month’s premium)
  • Plan selections
  • Signed & completed Group Enrollment Agreement/Policy Application (GEA) Application
  • All signed & completed Employee enrollment forms
  • Prior Carrier bill

 

These items must be included and sent to the Sales Team by the submission cut-off date (20th of the month prior to the effective date month) or be moved to the next effective month. Any additional missing/incomplete items requested must be submitted to Sales by the first of the effective month or the group will be moved to the next effective date. Click here to see the Groups (51-100) New Business Submission Date Timeline.

 

If you have any questions regarding this announcement, please contact your Health Net Small Business Group Account Executive.

 

 

 

 

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Susan Peters