Sales & New Group Setup
Request For a Proposal Form
Please complete the form below to request a group quote. Our team will review the information and provide a customized proposal.
Sales & New Business Resources
Access the tools and resources you need to set up and manage new groups efficiently.
Sales and New Business Resources
Access the tools and resources you need to set up and manage new groups efficiently.
Contact List
New Group Implementation Checklist
Contact List
Connect with your assigned SIMNSA Representative.
Contact List Groups
Connect with your assigned SIMNSA Representative.
Checklist for Implementation
PDF doc. Step-by-step guide to set up a new group.
Underwriting Requirements
New Group Submission Forms
UW Requirements- Large Group
Review the essential Underwriting Requirements outlining the necessary criteria and eligibility rules for swift group approval.
UW Requirements- Small Group
Review the essential Underwriting Requirements outlining the necessary criteria and eligibility rules for swift group approval.
Master Application
Administrative application for employers to contract group health coverage, specifying effective dates, rates, and contribution levels.
Enrollment Application
Official form for employees and their dependents to apply for membership in SIMNSA medical and dental plans.
SIMNSA Health Care Versus Competitors
Feature
SIMNSA Health Care
Market Alternative
Coinsurance
$0
Yes, costing member up to $250 and more depending on the service
Network Size
Extensive 900 +
Moderate Less than 150
Coverage for Specialist Services
Extensive
Moderate
Diagnostic Test (Blood work, xray)
$0
$30 up to $50 depending on service
Imaging (CT, Pet Scans, MRI)
$0
$100 up to $250 depending on service
Out-of-Pocket Maximum
$6,000 per individual and up to $12,000 per family
$6,250 individual up to $15,600 per family, depending on the plan
Primary Care Visit Copay
Flat rates range from $5 to $10, depending on the plan
$20 up to $40 depending on the plan
Emergency Care
No Limited Services
Limited Services Co Insurance applies to the entire episode of an emergency
Emergency Medical Transportation
No cost
15% up to $250 copay, varies by plan
Hospital Stay
Covered and Unrestricted: Our plans cover hospital stays without limits
Some plans have a copay of $100 per day
Most plans range between $50 and $600 per day, for up to 5 days, depending on the plan
Prescription Drug Coverage
Ranges from $15 up to $40
From $10, $30, with up to 40% coinsurance on the total cost
Obgyn/Childbirth/Delivery facility services
No Cost
$150 up to $600 Copay/day, depending on the plan
Mental Health Services
$5–$10/visit; Included at no cost
$5 usd up to $25 per visit. For inpatient services $100 up to $250 / up to 5 days, depending on the plan
Chronic Disease Management
Included
Included
Wellness Programs
Available
Available
Comprehensive Services
Available at a ONE-STOP Medical Campus
Not available on one campus
Driving Your
Clients' Success
30+ Years
Satisfied Clients
100+
Specialists
500+
Groups
60,000+
Members