Small Business Benefits

Simplified Underwriting Expanded

Get a quote today for your groups with 25 or more enrolling employees.
 
Our expert problem solvers can help customize level-funded plan designs to meet your clients’ needs and budget.
 
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What’s needed for an initial underwriting rate?

Groups can be issued and onboarded in as little as 5 business days. For an initial underwriting rate, simply submit:
  • Member/Dependent-level census* (1133-3)
  • Simplified Underwriting Risk Review Form (1133-2)
  • Prior carrier billing statement
  • Renewal Packet
For a final offer of coverage, the following is needed:
  • Complete submission documents
    • Employer Application for Insurance Coverage
    • Employee Enrollment Census Template (1133-5)
    • Employee Acknowledgement Form (1133-4)
*Information must be complete and accurate.

Key Resources

Overview
Member/Dependent-Level Census
Simplified Underwriting Risk Review Form
Employee Enrollment Census Template
Employee Acknowledgement Form
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Get a Quote or More Information

Note: Available in all states with self-funded plan designs, except WA.
Trustmark® and Trustmark Small Business Benefits® are trademarks of Trustmark Insurance Company. All other trademarks are the property of their respective owners, which are not affiliates of Star Marketing and Administration, Inc., and Trustmark Life Insurance Company.

Plan design availability and/or coverage may vary by state. Plans are administered by Star Marketing and Administration, Inc., and stop-loss insurance and ancillary coverage are provided by Trustmark Life Insurance Company.