Requesting a Proposal

Hometown Health provides a variety of medical plans to meet the needs of your Nevada clients. We also provide dental and vision riders.

To request a proposal, please provide the following to your Account Executive.

Groups with two to 50 employees

To obtain a preliminary quote on groups with two to 50 employees, please provide:

• A census that includes:
  • Gender
  • Date of birth (preferred) or age
  • Number of dependents the employee would like to cover
• Information on the company
  • Company name
  • SIC code or describe the industry in which the company operates
  • Company's location (city and ZIP code are sufficient)
  • Company's current plan design or the plan design that you are requesting or both
• Effective Date
• Your contact information

Groups of more than 50 employees

To obtain a quote on groups of more than 50 employees, please provide the following:

A census that includes the following. Please provide the census in Microsoft Excel format if possible.

• Gender
• Date of birth (preferred) or age
• Number of dependents the employee would like to cover
• Names of any employees who have COBRA coverage in effect or pending
• Names of any employees who will become eligible within 60 days
• Effective date
• Three years of recent claims experience including:
  • Premium
  • Paid claims
  • Incurred claims
  • Membership
• If the group cannot provide three years of claims experience, please submit a Group Medical Assessment form.
• Group's current and renewal rates
• A list of any claims over $10,000 from the past 12 months and the corresponding diagnoses

Medical Load and Final Rate Requests

Along with the aforementioned documentation, please refer to the list of required documentation for final rates.

If your client would like an idea of the medical load the company could expect if they were to proceed to getting final rates, please have each employee fill out a medical assessment form.

If your client is interested in a self-funded plan, please call us at 775-982-3100.

Medicare Advantage Plan Referral Program

Click here for more information