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Quoting Mid-Market Groups with Fewer than 51
Enrollees
Beginning August 1, all new mid-market groups with fewer than 51
enrolled subscribers must complete a risk assessment.
When submitting rate requests for these groups, please include a
member-level census along with the group application. Required member-level
information includes: first and last name, gender, contract type, date
of birth, employment status, ZIP code, and Medicare eligibility. The
census must include information for all members—not just
subscribers.
Additionally, there has been a change made to our vision requirements
chart. The last bullet under Stand-Alone (Vision Only) currently states
“Not eligible for Voluntary Vision Product.” This will change to read
“Not eligible for Voluntary or any of the Discount Vision programs
(Vision Value).” We will share an updated chart soon.
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