Proposals
Groups with 100 or more employees enrolled, please contact your Premera sales representative.
Pre-renewal
Group size certification
Group enrollments
Completed implementation materials must be received at Premera well in advance of the first of the month to ensure eligibility and receipt of ID cards by the groups start date.
Follow these steps to complete your enrollment:
Required documents:
Fully insured group master application
Self-funded group master application
Circle, sign and date the Rate Exhibit to acknowledge your plan choice(s)
- Return completed enrollment materials to Strategic Account Executive Bradley.Olson@premera.com and Implementation Account Specialist Kayla.Koeckritz@premera.com.
Completed
enrollment materials must be received at Premera well in advance of the 1st of the month for new groups beginning coverage on the 1st of the following month to ensure eligibility and receipt of ID cards by the start date.
Note: Forms and documents will be provided for any groups requesting self-funded or defined funded options. Binder check will be required for stop loss.
Group renewals
Completed renewal documents must be received at Premera well in advance of the first of the month for renewing groups beginning coverage on the first of the following month to ensure eligibility and receipt of ID cards, by the groups start date.
Follow these steps to complete your renewal:
Circle, sign and date the Rate Exhibit to acknowledge your plan choice(s)
Required documents:
- Group verification report (provided by Premera)
- Enrollment spreadsheet (membership adds/drops or plan changes)
- Other coverage questionnaire
- Return your completed enrollment documents to your designated Account Manager and Implementation Account Specialist.
Note: Forms and documentation will be provided for any groups requesting self-funded or defined funded options.