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How to Submit a Quote
*Note: We will quote only for TPA's who meet approval requirements. If you would like to be considered, please download a TPA Application and Questionnaire and submit them to us.
| Information required by IIS to quote a group | |
|---|---|
| 1. | A current Census (including employer address and the following employees information: date of birth, zip code, gender, and dependent status) |
| 2. | A current Plan of Benefits |
| 3. | Most recent 3 years of claims experience with aggregate reports |
| 4. | 50% Notifications and any Potential Large Claim Disclosures |
| 5. | Employer's Industry |
| 6. | Contract Basis and Specific Deductible requested |
| 7. | Any PPO Network(s), precert company, UR company, LCM company, or RX vendor used for a given quote |
| 8. | TPA Commission requested |
| 9. | Current rates (Please provide any commission included in current rates) |
Email quotes to: quotes@iismgu.com or send via fax to (312) 857-9109.