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The Prairie Press

News Alert:


“Pay or Play” Employer Requirements under Health Reform

Three Secrets to Effective Plan Design

Prairie States Makes IT Push

Extraordinary New Program from Prairie States: FiveStar Health by Prairie States

Prairie States Presentations/Newsletters:


Prairie States Press - Newsletters

The Brokers Role in Making Healthcare Transparency Work

CEO Addresses National SIIA Conference April 2012

Three Ways to Reduce Group Health Plan Costs
 
Request a Quote
Request a Quote Placing a request for proposal from Prairie States is fast and easy. Please use the form below to provide some information about the group and its needs. A Prairie States representative will contact you to obtain additional necessary data such as census data, schedule of benefits, and claims experience. A concise proposal from Prairie States will follow promptly.

All information provided to us will be held in the strictest confidence.

 

Request a Quote from Prairie States   * = required
* Requesting Agency:  
* Contact First Name:  
* Contact Last Name:  
* Title:  
* Phone:  
* E-mail:  
* Name of Organization:  
* SIC Code/Nature of Business:  
* Address:  
* City:     
* State, Zip:     
Number of Employees Participating in the Health Benefit Plan:  
Is the plan currently self-funded:  Yes    No
Effective/Renewal Date:  
Self-Funded Plan Coverages to be Administered:
 Medical
 Dental
 Vision
 Optimal Health
 Short Term Disability		  COBRA / HIPAA
 HSA
 HRA
 FSA
 Life
Stop Loss
Benefits Covered Under Specific:
Medical    Dental    Prescription Drugs
Benefits Covered Under Aggregate:
Medical    Dental    Prescription Drugs
Specific Deductible Levels:
$  Current      $  Alternate 1     $  Alternate 2
Contract Basis:  
Name of Stop Loss Carrier:
Current Premium Rate:     $ Single      $ Family
Renewal Premium Rate:   $ Single      $  Family
Commission Requested: 
PPO Used at this Time: 
Prescription Benefit Manager Used:
Message:






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