Small group checklist
Our small group checklist will help you stay on top of it all. We’re working to ensure the quickest turnarounds possible, as always.
New submissions
Email directly to HPNewBusinessSales@point32health.org
Tip: Providing complete information upon submission prevents needless delays.
Binder payments
To install any account, we must have received a binder check, wire payment OR completed ACH form. For the fastest receipt of binder checks, be sure to use the direct address below:
Harvard Pilgrim Health Care
Premium Cash Dept. Wing B
Attn: Binder payments
1 Wellness Way
Canton, MA 02021-1166
Deadline for new group submissions: 10 business days prior to effective date.
Need Assistance? View the Service Team Reference Guide
New group paperwork:
- What you need to know for 2025
- CDH Authorization Form
- Group Information Form
- Premium Deposit Statement
- Enrollment Form
- Plan Sponsor Certification
- Identification of Third Party Authorization/Employer Group Vendor Designation Form
- 2025 Small Group Submission Deadlines
- Express Enrollment Template
- MA Health Coverage Waiver
- MA Domestic Partner Amendment
- Pediatric Dental Attestation
- ACH Authorization Form
- Small Group Checklist
- 2025 Plan Mapping
- 2025 Plan Portfolio
- 2025 Plan Pairing
- 2025 Medicare Enhance Benefit Grid
- Business Rules & Exclusions
- Pre-Renewal Form
TIPS:
- Submit only COMPLETE cases in one email. Incomplete submissions require follow-up emails and cause delays in processing. Incomplete cases are placed last in the processing queue.
- Account name should appear in subject line of all correspondence.
- For the quickest turnaround in processing enrollments and obtaining member ID numbers, be sure to use the Express Enrollment Template and include with your submission. We need the enrollment details for final rating purposes.
Questions concerning New Group Submissions should be directed to HPNewBusinessSales@point32health.org
Deadline for new group submissions is the 25th of the month.
Need Assistance? View the Service Team Reference Guide
New Group Paperwork:
- CDH Authorization Form
- Group Information Form
- Premium Deposit Statement
- ME – HMO Domestic Partner Amendment
- ME – PPO Domestic Partner Amendment
- Enrollment Form
- Plan Sponsor Certification
- Identification of Third Party Authorization/Employer Group Vendor Designation Form
- Express Enrollment Template
- ME Health Coverage Waiver
- Pediatric Dental Attestation
- ACH Authorization Form
- Small Group Checklist
- 2025 Plan Mapping
- 2024 Small Group Product Guide
- 2025 Small Group Product Guide
- Pre-Renewal Form
TIPS:
- Submit only COMPLETE cases in one email. Incomplete submissions require follow-up emails and cause delays in processing. Incomplete cases are placed last in the processing queue.
- Account name should appear in subject line of all correspondence
- Indicate the Bill type (List Bill/Age Banded or Composite)
- For the quickest turnaround in processing enrollments and obtaining member ID numbers, be sure to use the Express Enrollment Template and include with your submission. We need the enrollment details for final rating purposes.
Questions concerning New Group Submissions should be directed to HPNewBusinessSales@point32health.org
Deadline for new group submissions: 10 business days prior to effective date.
Need Assistance? View the Service Team Reference Guide
New Group Paperwork:
- CDH Authorization Form
- Group Information Form
- Premium Deposit Statement
- Enrollment Form
- Plan Sponsor Certification
- Identification of Third Party Authorization/Employer Group Vendor Designation Form
- 2025 Small Group Submission Deadlines
- NH Domestic Partner Amendment
- ACH Authorization Form
- Small Group Checklist
- NH Health Coverage Waiver
- 2025 Plan Mapping
- 2025 Plan Portfolio
- 2024 Small Group Product Guide
- 2025 Small Group Product Guide
- Pre-Renewal Form
TIPS:
- Submit only COMPLETE cases in one email. Incomplete submissions require follow-up emails and cause delays in processing. Incomplete cases are placed last in the processing queue.
- Account name should appear in subject line of all correspondence.
- For the quickest turnaround in processing enrollments and obtaining member ID numbers, be sure to use the Express Enrollment Template and include with your submission. We need the enrollment details for final rating purposes.
Questions concerning New Group Submissions should be directed to HPNewBusinessSales@point32health.org