Information for Brokers
ABC Benefits Trust Health Insurance Plan
Designed specifically for Merit Shop Contractors!
Northern Nevada ABC Trust Rates – Effective 10/1/18
Southern Nevada ABC Trust Rates – Effective 10/1/18
Download ABC Trust Renewal Election Form Here
Client Benefits Include:
Very Competitive Rates!
Lowers Payroll Burden on Prevailing Wage Jobs Making them More Competitive
Composite Rates—No Age-Banding!
Hour Banking Option Protects Team Members During Down Times!
Broker Benefits Include:
Generous Commission Paid Directly by ABC Benefits Trust
Underwriting Guidelines Designed to Say “Yes”
6 PPO Plans to Offer
The northern Nevada network utilizes the Hometown Health Large Group network
Statewide network and National coverage with Multiplan
ABC Trust Broker Checklist
ABC Trust Enrollment Form – Plan Year 2019
ABC Trust Enrollment Form – Plan Year 2019 – Spanish
ABC Trust Group Sold Enrollment Approval Checklist
ABC Trust Group Underwriting Approval Checklist
ABC Trust Medical Assessment Form
ABC Trust Medical Assessment Form – Spanish
ABC Trust Adoption Agreement
Waiver of Health Insurance – English
Waiver of Health Insurance – Spanish
Independent Contractor Agreement – Dillon Health
Business Associate Agreement – ABC Trust
W9 – Taxpayer Identification Form
Business Verification Form
For more information you can contact Hometown Health directly at 775-982-3100 or call ABC Trust at