Sales & New Group Setup
SIMNSA Broker - Request For a Proposal Form
Please complete the form below to request a group quote. Our team will review the information and provide a customized proposal.
Sales and New Business Resources
Access the tools and resources you need to set up and manage new groups efficiently.
Sales Contact & Groups
New Group Implementation Checklist
Contact List
Connect with your assigned Sales representative
Contact List Groups
Connect with your assigned Sales representative
Checklist for Implementation
PDF doc. Step-by-step guide to set up a new group.
Writting Requirements
New Group Submission Forms
UW Requirements- Large Group
Review the essential Underwriting Requirements outlining the necessary criteria and eligibility rules for swift group approval
UW Requirements- Small Group
Review the essential Underwriting Requirements outlining the necessary criteria and eligibility rules for swift group approval
Master Application
Official form for employees and their dependents to apply for membership in SIMNSA medical and dental plans.
Enrollment Application
Administrative application for employers to contract group health coverage, specifying effective dates, rates, and contribution levels.
SIMNSA Health Care Versus Competitors Chart
Feature
SIMNSA Health Care
Medi Excel Plan
Coinsurance
$0.
Yes, costing member up to $250 and more depending on the service.
Network Size
Extensive 900 +
Moderate Less than 150
Coverage for Specialist Services
Extensive
Moderate
Diagnostic Test (Blood work, xray)
$0.
$30 up to $50 depending on service.
Imaging (CT, Pet Scans, MRI)
$0.
$100 up to $250 depending on service.
Out-of-Pocket Maximum
$6,000 per individual and up to $12,000 per family.
$6,250 individual up to $15,600 per family, depending on the plan.
Primary Care Visit Copay
Flat rates range from $5 to $10, depending on the plan.
$20 up to $40 depending on the plan.
Emergency Care
No Limited Services
Limited Services. Co Insurance applies to the entire episode of an emergency.
Emergency Medical Transportation
No cost
15% up to $250 copay, varies by plan
Hospital Stay
Covered and Unrestricted: Our plans cover hospital stays without limits.
Some plans have a copay of $100 per day.
Most plans range between $50 and $600 per day, for up to 5 days, depending on the plan.
Prescription Drug Coverage
Ranges from $15 up to $40
From $10, $30, with up to 40% coinsurance on the total cost.
Obgyn/Childbirth/Delivery facility services.
No Cost
$150 up to $600 Copay/day, depending on the plan.
Mental Health Services
$5–$10/visit; Included at no cost
$5 usd up to $25 per visit. For inpatient services $100 up to $250 / up to 5 days, depending on the plan.
Chronic Disease Management
Included
Included
Wellness Programs
Available
Available
Comprehensive Services
Available at a ONE-STOP Medical Campus
Not Available in one campus
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