Hometown Health is a partner to insurance brokers and we work with you to make it easy to bring employer groups, individuals & families, and Medicare recipients to Hometown Health.

2018 Rates and Benefits: Effective Date 01/01/2018

• Download 2018 Small Group and Individual & Family Rate Calculator
  (click on pink tabs in the rate calculator for drop down menu selections)

• Northern Nevada Benefits At A Glance – Small Group & Individual & Family

• Southern Nevada Benefits At A Glance — Small Group

• Southern Nevada Benefits At A Glance — Individual & Family

• Small Group PPO Plan – 2018 Evidence of Coverage
• Small Group HMO Plan – 2018 Evidence of Coverage

2017 Broker Summit Presentation

• 2017 Broker Summit Presentation Link

2017 Rates and Benefits

• View 2017 Small Group and Individual & Family Plan Benefits

• Download 2017 Small Group and Individual & Family Rate Calculator
  (click on pink tabs in the rate calculator for drop down menu selections)

Get To Know Our Website

Here is a Website Overview Document to help you understand our website.

Requesting a Proposal Brokers may use the eQuote Quoting Tool for all your quoting needs, including accessing forms and summary of benefits. You may register to use eQuote here.

If you have any questions regarding the quoting process, please call 775-982-3100.

Small Group Underwriting Guidelines
These Guidelines apply to Small Employers who wish to purchase Hometown Health Small Group coverage.

Groups with 2-50 employees
A census, in Microsoft Excel format, that includes the following:

• Gender (when possible)
• Date of birth (Required for accurate quote)
• Spouse date of birth (Required for accurate quote)
• Child/Children date of birth (Required for accurate quote)
• Effective Date (Required)
• Your contact information (Required)

For your convenience, here is the small group census template and checklist:

• Small Group Census Template
• New / Renewal Small Group Checklist

Large Groups with No Current Coverage 50+ Eligible Employees
Please submit the following documentation:

• Group Name and address (Required)
• NAICS code (Required)
• Detailed census with the following information:
  • Name of Employee (when possible),
  • Medical Plan Design
  • Gender
  • Zip Code
  • Date-of-Birth
  • Tier Structure Large group Census Template  (Required)

Large Groups with Coverage 50-99 Eligible Employees
Please submit the following documentation:

• Group Name and address (Required)
• NAICS code (Required)
• Detailed census with the following information:
  • Name of Employee (when possible)
  • Medical Plan Design
  • Gender
  • Zip Code
  • Date-of-Birth
  • Tier Structure Large group Census Template (Required)
• Current rates
• Renewal rates
• Plan designs (Required) – current plan info (SOB, SBC)
• Two years aggregate claims information
  • If a prospect is unable to submit current coverage or two years of claims information a “Large Group Medical Assessment Form 51+” form maybe used, otherwise a manual rate will be quoted.

Large Groups with Coverage 100+ Eligible Employees
Please submit the following documentation:

• Group Name and address (Required)
• NAICS code (Required)
• Detailed census with the following information:
  • Name of Employee (when possible)
  • Medical Plan Design
  • Gender
  • Zip Code
  • Date-of-Birth
  • Tier Structure Large group Census Template (Required)
• Current rates
• Renewal rates
• Plan designs (Required) – current plan info (SOB, SBC)
• Two years claims information by month preferred
  • Include Large claims over $25,000.

Final rate requests
Along with the aforementioned documentation, please refer to New Large Group Checklist and Documents for the list of required documentation for final rates.

Self Funded and TPA Products
If your client is interested in a self-funded plan, please call us at 775-982-3100.

Medicare Products
We also offer a Medicare Advantage Plan Referral Program for qualified brokers.