FAQ’s
Q. Which health conditions most significantly affect rates?
A. Typically, ongoing illnesses and pending services related to things like cancer, transplants or serious diseases that will require extensive treatment.
Q. What information is necessary to receive a quote?
A. A current census indicating the status of the employees (i.e. active or COBRA), age or DOB, and type of coverage (i.e. single, family, employee plus spouse or children) and number of children in each family. This information is required. Additional information will help us in the underwriting process and can save time for you and the prospect by submitting rates as close to the final quote as possible. Applications are the best source of health condition information. We will provide quotes using another carrier's applications. Claim history or loss runs are effective tools also as this will help identify large claims. Current plan information is essential as we will want to match their current plan in addition to suggesting alternatives. Rate information is helpful information to identify possible current underwriting class.
Q. Can I have an exclusive contract for the area where I do business?
A. It is our belief that contracting with local, independent agents is the most effective way to market, sell and service prospects in this part of the country. All agents have unique relationships with local prospects through community involvement or other lines of coverage and so we feel that using only a few, exclusive agents would diminish the opportunity to do business.
Q. Will GPB/Sanford Health Plan help me with advertising?
A. Yes. Co-op advertising is the most under utilized resource we have available. In addition to spots in your local paper, we'll be happy to arrange presentations or informational meetings in your community where several prospects could be invited.
Q. Can Sanford Health Plan cover out of area members?
A. Yes. Sanford HP can and does access other networks such as Beechstreet, Preferred One and TLC. Please don't shy away from quoting a business with employees or dependents in other parts of the country.
Q. What is your service area?
A. All of South Dakota, Southwest Minnesota and Northwest Iowa. Our individual product is only available in South Dakota.
Q. What products do you sell?
A. We provide insurance for employer groups, individuals and medicare recipients.
- Employer Group Health Insurance
- Employer Group Health Insurance is available for both fully insured and self-funded clients.
- With our Sanford Signature Series, your plan options are unlimited! We offer the flexibility to choose from a variety of cost sharing options to develop the perfect benefit package.
- HMO Plans feature open access to specialists and our entire extensive provider network and multiple copay and tiered copay options for office visits.
- PPO Plans feature in and out-of-network benefits with the freedom to choose any provider.
- Voluntary Employee’s Beneficiary Association (VEBA) Plans—providing financial assistance with money that can be deposited and grow tax free to provide employees with the financial resources to pay for eligible medical expenses.
- Consumer Driven Health Plans
- Health Savings Accounts (HSAs) and High Deductible Health Plans—tax-exempt accounts established for paying out-of-pocket qualified medical expenses when covered under a high-deductible health plan. The funds are managed and controlled by the employee without restrictions of healthcare professionals and facilities.
- Health Reimbursement Accounts (HRAs) which allows employers to reimburse their employees for health expenses not covered by the group health insurance plan. (i.e. deductibles).
- Dental and Vision Plans.
- Flexible Benefits Accounts. Both Premium Conversion and Flexible Spending Accounts give employers the opportunity to save on FICA taxes and allows employees to pay for certain expenses with pre-tax dollars. Online claim submission, autoprocessing and direct deposit is available for fast claims reimbursement.
- Individual Health Insurance
- Medicare Supplement and Medicare SELECT Plans offer affordable options for seniors and Medicare beneficiaries.
- elite1 Individual and Family Plans are great for college students, self-employed individuals, small business owners, singles and families offering custom-fit health insurance focusing on quality and comprehensive healthcare.
Q. How can I become an appointed agent to sell your products?
A. Contact Great Plains Brokerage at 1-800-251-5316 or email at sales@sanfordhealth.org.
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