SmartSuite^® & SmartAssurance

Program Eligibility

For SmartSuite, customers must have a minimum of 100 fully-insured eligible employees or a minimum of 150 ASO eligible employees. The client must have at least 75% participation. For SmartAssurance, Elite clients (those eligible for a 9.9% rate cap) must be fully insured with 300+ eligible employees.

How SmartSuite Works

Using the SmartSuite Client Commitment Form, your clients:

1. Agree to six base requirements, including full replacement, a flat contribution strategy, and 3-6 medical plans, at least two of which must be consumer-driven health plan (CDHP) options
2. Choose at least 3 behavior modification credits, each worth 0.5 or 1.0%; the maximum behavior modification credit allowed is 5%, even if the client implements options that add up to greater than 5%

The client's installation time cycle will be dependant on what behavior modification credit options the group commits to. All funding types (standard and custom) electing Online Enrollment or EDI Enrollment will require 60 days to install.

Note: Renewing SmartSuite clients on the original SmartSuite program. Any renewing SmartSuite client effective prior to 6/1/09 that chooses not to make any changes to their existing SmartSuite program requirements or medical plan choices may renew under the original SmartSuite program with their existing behavior modification credit. If the client wishes to make any program requirement changes or medical plan changes, at renewal, they will be required to adopt the new SmartSuite program.