Oasis Health Care: Broker Proposal Request

Broker Proposal Requests

We are pleased to provide you with proposals for your clients. So that Oasis Health Care may customize a proposal for your client, please contact us with as much of the following information as you have.
You may:

	Email us
	Phone us at 201-946-2300 to speak with Roger Barker, or fax us at 201-434-4244.
	Mail us at: Oasis Health Care, Inc. 30 Montgomery Street, Suite 604 Jersey City, New Jersey 07302

Basic Demographic Data
Name of Company
Number of Sites
Employee Population by Site
ZIP Codes of Employee Homes for PPO Access

Current Plan Design
Self-funded or Insured
Open Access or Point of Service
Co-pay or % of Charges
Deductibles
Prescription Card or % or Charges
One Plan or Multiple Plan Designs
Care Management for Hospitalization
Stop-Loss Insurance

Plan Design for Proposal
Current Plan or Redesigned Plan by Customer
Oasis Health Care Basic or Enhanced Plan
Please include copy of current plan design if Customer wishes to replicate the plan

Claims History
Census sorted by employee, including employee dependents, dates of birth
Three Years of Claims History
Large Claims [all annual claims in excess of $15k for a single enrollee]
Premiums currently paid [single, employee + spouse, and family]

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