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Enrollment Kit - SIMNSA Health Plan (Medical)

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 SIMNSA Health Plan’s case submission requirements​​.
 

​​​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.