Broker Assistance, Sales and Retention

Large Groups with No Current Coverage 50+ Eligible Employees, please email quote@hometownhealth.com and include the following documentation:

1. Your contact information
2. Group Name and address (Required)
3. NAICS code (Required)
4. Detailed census with the following information:
   1. a. Name of Employee (when possible),
   2. b. Medical Plan Design
   3. c. Gender
   4. d. Zip Code
   5. e. Date-of-Birth
   6. f. Tier Structure

Large Groups with Coverage 50-99 Eligible Employees, please include the following documentation:

1. Your contact information
2. Group Name and address (Required)
3. NAICS code (Required)
4. Detailed census with the following information:
   1. a. Name of Employee (when possible),
   2. b. Medical Plan Design
   3. c. Gender
   4. d. Zip Code
   5. e. Date-of-Birth
   6. f. Tier Structure
5. Current Rates
6. Renewal Rates
7. Plan designs (Required) – current plan info (SOB, SBC)
8. Two years aggregate claims information
   1. a. If a prospect is unable to submit current coverage or two years of claims information a “Large Group Medical Assessment Form 51+” form maybe used, otherwise a manual rate will be quoted.

Large Groups with Coverage 100+ Eligible Employees, please include the following documentation:

1. Your contact information
2. Group Name and address (Required)
3. NAICS code (Required)
4. Detailed census with the following information:
   1. a. Name of Employee (when possible),
   2. b. Medical Plan Design
   3. c. Gender
   4. d. Zip Code
   5. e. Date-of-Birth
   6. f. Tier Structure
5. Current Rates
6. Renewal Rates
7. Plan designs (Required) – current plan info (SOB, SBC)
8. Two years claims information by month preferred
   1. a. Include Large claims over $25,000.

If you would like to process a renewal or need confirmation, please email us at renewals@hometownhealth.com

If you need any of the following as it relates to a renewal, please use the renewal email address above:

1. Signed renewal rates
2. Email plan and renewal rates confirmation
3. Request for Summary of Benefits (SOB)
4. Request for Summary of Benefits and Coverage (SBC)

If you would like to process a new group, please email us at quote@hometownhealth.com

If you need any of the following as it relates to a renewal, please use the email address above:

1. Submit New group paperwork
2. Request for Summary of Benefits (SOB)
3. Request for Summary of Benefits and Coverage (SBC)
4. New group question

If you would like to request an open enrollment packet, please email us at packetrequest@hometownhealth.com

This is used for any size group for a request for enrollment packets also known as open enrollment packets.  Please include the following documentation:

1. Group Name
2. Effective Date
3. Number of packets need (number of English and number of Spanish)
4. Date Required
5. Medical and Rx plan selected
6. Vision Plan selected
7. Mail or Pick up (If mailing please provided address and contact)

To request an open enrollment meeting, please email us at openenrollmentrequest@hometownhealth.com

This is used for any group for a request for a Hometown Health team member to attend an open enrollment meeting to explain the plan benefits to employees. Please include the following in your request:

1. Date you would like to hold the meeting
2. The location of the meeting
3. The time of the meeting
4. If packets or other information is needed for this meeting