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Quoting Large Groups

To request fully funded rates for a large employer group (51 or more eligible employees), we’ll need some information from you first. We’ve created a checklist (Ohio / Michigan) to make it easier. When all of the information is received, we normally provide rates within two weeks. Information may be sent to your broker/agent or to Paramount directly. Contact Paramount Marketing at 419-887-2500 to speak with an Account Executive about self-funded requirements, or if you have any questions.


  1. Employer Risk Assessment Form (ERAF) filled out by the group (usually by a Human Resource manager).
  2. A census capturing all eligible employees (Excel® format is preferred). The census should identify age, gender, enrollment type (single, couple, etc.), and the current plan they are enrolled in (if there are multiple plans).
  3. Renewal, current and prior year rates from your current carrier. Rate development is also required for groups over 100. Please provide these on carrier letterhead.
  4. Current and prior year’s Summary of Benefits. This helps us understand why rates may have changed from year to year.
  5. Large claims data with diagnosis for groups over 100 contracts from your current carrier.
  6. Claims experience by month. Two years is required for groups over 100 contracts.
  7. Membership by month for two years, for groups over 100 contracts.
  8. Medical Health Questionnaires (MHQs) for groups with fewer than 100 eligible employees. This form must be filled out by each employee. Check with your broker/agent to see if they have software available to help.