• Large Group Census Form

  • New Underwriting Solution: Gradient AI

    At GHC-SCW, we’re dedicated to making your health insurance journey as smooth and efficient as possible. To enhance our offerings, we are partnering with Gradient AI, leveraging cutting-edge technology to better evaluate future risk, particularly for large groups with under 51 enrollees that lack claims, utilization or MLR data.

    This innovative approach allows us to provide faster, more accurate quotes without the need for medical applications, streamlining the entire process.

    What We Need From You: 

    Step 1: Download the Census Template

    Step 2: Complete the member census excel document containing the following information:

    • First Name
    • Last Name 
    • Gender 
    • Date of Birth
    • Zip Code
    • Relationship (subscriber, spouse, child, etc.)
    • Coverage Type (employee only, employee + spouse, employee + child(ren), or Family)
    • Current medical benefit plan (if multiple plans are offered)

    Step 3: Upload your completed census excel document below and click "Submit" to begin the underwriting process! 

  • Census Form Submission

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  • Need Help?

    Please contact your New Group Sales Executive if you have any questions or need additional assistance. 

    Michael Polk, New Group Sales Executive
    (608) 828-4829 (Direct)  |  (608) 228-7415 (Cell)  |  mpolk@ghcscw.com 

    Craig Wellman, New Group Sales Executive
    (608) 828-4828 (Direct)  |  (608) 577-4667 (Cell)  |  cwellman@ghcscw.com 

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