2019 New Case Submission Rules for Groups of 1-50

Broker meeting 3Sending a friendly reminder to our Oregon and Washington producer business partners that Health Net is looking to you to ensure the onboarding process for new groups is as seamless as possible.

To achieve a seamless onboarding process, Health Net must receive the completed, signed, and dated submission documents by the dates set. Below are the documents that are required at the time of new case submission.

Oregon – Groups 1-50
  • Live check or copy of check.
  • Copy of sold quote and plan selections.
  • Signed and completed the Group Plan Contact (GPC) Application.
  • Producers must submit the Employee Census Enrollment Form found on Health Net’s Broker Hub with the understanding that the producers are responsible for retaining all signed and completed forms.
  • Form 132 (1–5 enrollees)
    • Groups that have not been in business long enough to have Form 132 may submit 2 weeks of payroll.
    • Legal Ownership documentation if owner(s) is not listed on Form 132.
  • Group Census Form (All enrollees)
Washington – Groups 1-50
  • Live check or copy of check.
  • Copy of sold quote and plan selections.
  • Signed and completed Group Plan Contact (GPC) Application.
  • Producers must submit the Employee Census Enrollment Form found on Health Net’s Broker Hub with the understanding that the producers are responsible for retaining all signed and completed forms.
  • Form 5208A/B (1–5 enrollees)
    • Groups that have not been in business long enough to have Form 5208A/B may submit 2 weeks of payroll.
    • Legal Ownership documentation if owner(s) is not listed on Form 5208A/B.
  • Group Census Form (All enrollees)

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

Oregon

Washington

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

 

 

 

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Bret Smith