FULLY INSURED (51-99)


Non-Virgin

1. Member Level Census

2. Current Renewal Letter


Virgin

1. Member Level Census

2. Group Specifics (Name, Location, SIC Code, Payroll Count, Eligible Count, Total Number Enrolling, and Total Number COBRA)




LEVEL FUNDED (10-99)


Non-Virgin

1. Member Level Census

2. Current Renewal Letter


Virgin

1. Member Level Census

2. Group Specifics (Name, Location, SIC Code, Payroll Count, Eligible Count, Total Number Enrolling, and Total Number COBRA)