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Simple Benefits Website

Simple Benefits Package

A Suite of ACA Compliant plans built on a proprietary structure to allow small groups the buying power of a large group.

The ability to join a health plan that empowers small groups of any size the benefits and rates of a larger group and utilize economy of scale to leverage lower rates.

RBP & Network Plans

Groups have the choice between a network based model or a reference based pricing model. Claim cost will be inherently driven down substantially in a RBP model. However, it will require more employee education. 

RBP

  • Utilizes bottom up pricing with Medicare as a baseline
  • Averages between 60-70% off billed charges
  • Requires member and provider education




PPO Network

  • Utilizes top down pricing with providers billed charge and network discount as a baseline
  • Averages between 20-40% billed charges


Medical Underwriting

Employers with <10 employees enrolling with require personal health questionnaires and employee census to quote


Employers with >10 employees enrolling can be underwritten 

via employee census

Download PHQ

Employee Census

Employee census must include name, date of birth, and zip code for each enrolling employee. Waived employees will not need to be included.


Including dependent level data will increase pricing accuracy and competitiveness

Download Quote Census Template

Document Library

Agent appointment forms, employer applications, and billing documents 

are all just a click away

Access Library

We Provide A Free Benefits Quoting, Enrollment, and Benefit Administration Platform

Register to join our weekly Platform Training

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