2. Please upload any and all Rate/Contribution grids you'd like us to reference when updating your portal this year.
Please note, we need the total monthly premiums/total monthly contribution amounts. Our system will calculate the per pay period amounts based on your set pay frequency. *This question is required.
2. If you already have updated SBCs/Summary Documents for the renewing Non-Sun Life benefits, please upload them here. Otherwise, we will use the existing SBC currently attached to the benefit.
If you're still waiting on the updated SBCs from the carrier, please send them to Renewals@maxwellhealth.com once you have them. Pending SBCs will not hinder your renewal timeline.
Please note, your existing EDI feeds will renew automatically and we will work you carrier contacts if a new Account Structure is needed. However, if you're looking to add a
*NEW* EDI feed this year, please submit your request by filling out this
EDI Request Form.
2. Please enter the new Plan Name, Plan Type (Medical/Dental/Financial etc.), and Plan Carrier/Vendor.
Example: Blue PPO 2024 - Medical - Blue Cross Blue Shield - 4/1/24 - MGMT and Full Time Employees
This question requires a valid date format of MM/DD/YYYY.
If there are any additional renewal details this form was unable to capture, please feel free to email us directly at renewals@maxwellhealth.com.