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Underwriting Guidelines
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2017 Large Group (51+) Underwriting Guidelines
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2017 Small Group (SEH) Underwriting Guidelines
They will be uploaded onto ROAM. The changes include amendments to comply with the state and federal law. The new guidelines are effective January 1, 2017, and apply to new and renewing groups.
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2016 Underwriting Guidelines for SEH 2-50 size employers
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AHNJ Member Level Census Instructions
To offer best possible rate for non-experience rated groups or groups without experience data to provide, AHNJ is requiring member level census data for all groups 51+.
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AHNJ Member Level Census (51+ quoting)
Excel template for collecting member level census information for any 51+ quoting with Amerihealth. By default, SEH (2-50) plans require member level rating, so this census can be used for SEH as well.
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Small Group SEH (1-50) Renewal process (FAQ - released 4/2015)
Many changes have been made to AHNJ renewal process to meet state and federal requirements as a result of the Affordable Care Act. If you have any questions about the SEH renewal process, please refer to the SEH Renewals FAQ.
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2015 Underwriting Guidelines for SEH 2-50 size employers
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2014 Underwriting Guidelines for SEH 2-50 size employers
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Underwriting Guidelines for SEH 2-50 size employers (as of July 2013)
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07.03.2012
Underwriting Guidelines for SEH 2-50 size employers (as of June 2012)
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07.03.2012
Underwriting Guidelines for Large Group 51+ size employers (as of June 2012)
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06.02.2011
Value Network - Underwriting guidelines
Revised underwriting guidelines and rules for the Value network products. Major change: you can sell Value alongside Preferred for groups that have 10 or more eligibles
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