Thank you for visiting the Word & Brown® website (hereinafter, the "Website"), which is owned and operated by Word & Brown Insurance Administrators, Inc. (hereinafter, "Word & Brown"; "We"; or "Our"). The information included in this Website was collected from sources that are considered reliable including, without limitation, rate information provided by carriers. We have not verified nor can we guarantee the accuracy, timeliness or completeness of such information. This Website is provided on an "AS-IS" basis. Thus, it is solely your responsibility to verify any information you obtain from this Website before making decisions or incurring costs based on such information.
Current As Of
"Current As Of" signifies the latest date on which a Word & Brown
Team Member confirmed that the Forms/Document available for download represents the most up-to-date and recently
revised version accessible.
This checklist is provided as a guide. The carrier may require additional items and documentation. Please refer to the carrier's underwriting guidelines for a complete list of requirements. Please use the latest version of forms.
Our goal is to process your new group enrollment easily and efficiently in order to provide you and your client with a quick approval. The following list outlines Sutter Health Plus's case submission requirements.
Small Group (1-100) Submission
Reconciled DE-9C (required for one to nine eligible employees): VW-Valid Waiver, T-Term, PT-Part Time, E-Enrolling Note: While not required, Sutter Health Plus Underwriting reserves the right to request a DE-9C for employers with more than ten FTEs.
Binder check for first month’s premium including dependent premium.
Completed and signed Employer Application; including employee participation totals.
Completed and signed Employee Application(s).
Copy of medical quote submitted to employer.
Sutter Health Plus Eligibility Statement (for owners not on the DE-9C)
Completed New Employee Verification Form for employees not listed on the DE9-C or current premium invoice Note: Sole proprietors and partners do not need to complete this form; all eligible employees must be on a reconciled DE-9C or two week payroll cycle
Please provide the following:
Sole Proprietorship - Current California Business License, Fictitious Business Name Filing, or Current Schedule C and (1040) form
Partnership/LP/LLC - Partnership Agreement and Federal (EIN) Assignment Letter, Current Schedule K-1 (1065), Statement of Partnership Authority, or Statement of Information (LLCs only)
Corporation/C Corp - Articles of Incorporation, Statement of Information, Schedule K-1 1120S (for S Corp), or Tax Form 1120 (pages 1 and 2) with Schedule 1125e (for C Corp)
If you submit group cases after the 20th of the prior month, this may cause a delay in the delivery of member identification cards and welcome materials by the effective date.
Final deadline for group submissions is the first Friday of the effective month; group submissions must include completed documents and binder check.
After approval, prior carrier termination letter must be submitted by the employer or broker.
For other useful or older documents, please refer to the Forms database.
Important Reminder: To help your client comply with ACA requirements, provide a copy of the appropriate Summary of Benefits and Coverage (SBC) to each employee at the Enrollment Meeting, via email or by posting on an internal company website. For the most recent information regarding Aetna’s SBCs, please go to the SBC Page or contact your Word & Brown Representative.