New business submission guidelines

Health New England will require all new group submissions be received ideally, at least 5 days prior to the effective date.

The information required for new business submission
is as follows:

  • Signed Employer Group Application
  • All Member Enrollment forms completed in full and signed by the subscriber and employer
  • Most recent WR1/Quarterly Wage Statement or Payroll Records (or other appropriate documentation to verify group and subscriber eligibility).
  • Domestic Partner Rider form (if applicable)
  • Confirmation of the sold rates
  • Health Equity Forms (if applicable)

What is needed to get a self-funded quote from
Health New England:

  • Name of the business
  • Census of employees, including zip code
  • Effective/renewal date
  • A copy of the health plan documents from the present TPA describing current benefits.

These materials can be sent to salesquotes@hne.com. 

If you have any questions regarding the submission requirements, please contact your Health New England New Business Sales Executive at (413) 233-3535.

Health New England reserves the right to request any additional information necessary to verify employer and/or employee and/or dependent eligibility.
HNE