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For Brokers
What You Need to Request a Medical Quote Large Group or Global Prospects
• Company Name, Mailing Address, City, State and Zip Code • Any other US office locations • Requested Effective Date • SIC code/Nature of Business • Writing Agent/General Agent • How long has the group been with the current carrier? • Contribution percentage ER is paying • Why is the case out for bid? • Is NLB the sole Medical carrier? • Employee/Dependent-level census including: o Total Eligible Employees
o Gender, Date of Birth, plan selection, zip codes o Coverage Type (EE, ES, EC, FAM, Waiver) –
Are the waivers listed on the census all valid (spousal, parental, Medicare, Medicaid, Tricare, and CHAMPUS)
• Current plan summaries • Current rates and current renewal rates when available • If experience is available, please send two years of monthly claims, premium rate history, and the number of lives as required by the state • Is the group foreign-owned? If yes, please provide the following: o Parent company address, HQ, and website link o Are there 100 employees worldwide?
o Census that shows the status of each employee, including expat, US Citizen, Green card holder, or Visa holder? You can add a separate column to the census
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www.nipponlifebenefits.com Nippon Life Insurance Company of America (Nippon Life Benefits), NAIC number 81264, is a member company (subsidiary) of Nippon Life Insurance Company of Japan (“Nissay”). Nippon Life Benefits is responsible for its own financial condition and contractual obligations. NLB 30718 6/15