Request A Nippon Medical Quote
Large Group or Global Prospects
• Company Name, Mailing Address, City, State and Zip Code
• Any other US office locations
• Requested Effective Date
• SIC code/Nature of Business
• Writing Agent/General Agent
• How long has the group been with the current carrier?
• Contribution percentage ER is paying
• Why is the case out for bid?
• Is NLB the sole Medical carrier?
• Employee/Dependent-level census Census including:
o Total Eligible Employees
o Gender, Date of Birth, plan selection, zip codes
o Coverage Type (EE, ES, EC, FAM, Waiver)
– Are the waivers listed on the census all valid (spousal, parental, Medicare, Medicaid, Tricare, and CHAMPUS)
• Current plan summaries
• Current rates and current renewal rates when available
• If experience is available, please send two years of monthly claims, premium rate history, and the number of lives as required by the state
• Is the group foreign-owned? If yes, please provide the following:
o Parent company address, HQ, and website link
o Are there 100 employees worldwide?
o Census that shows the status of each employee, including expat, US Citizen, Green card holder, or Visa holder? You can add a separate column to the census
