• (775)322-5900

  • info@asginsurances.com

  • 1695 Meadow Wood Ln. #200, Reno, NV 89502

Welcome Brokers, We Are Better Together BANN Benefit Trust Fund Association Health Plans Brought to You by BANN, Hometown Health and Asset Solutions Group

What to Expect Three Step Enrollment Process

General Information

Provide broker contact and client contact information. This ensures that we know who to contact if anything is missing.

BANN Membership

To participate in the BANN AHP, you must be an active member of the Builders Association of Northern Nevada. Please have your Contactors Licence Number available.

Enroll at Hometown Health

Brokers can enroll their clients using Hometown Health's eQuote tool. Or, fill out the applications and email them. Be prepared with Business Licence Information, Employee Applications/Waivers and Employee Payroll info.

One-Stop BANN Benefit Trust Fund AHP Enrollment Get Started

General Contact Information

Please fill out the general information form. Asset Solution Group keeps this basic contact information on hand in case there is an issue with the application.

Broker Information

Please provide information about the broker here. Your information is kept safe and is not shared.






Client Information

Please provide information about the applicant here. Information is kept safe and is not shared.









Success! We have received your information.

BANN Membership Application

*Current members may skip this step.

Tips to Complete

  • The BANN application presented here may have limited functionality. Note: To have complete functionality, open the application here.

  • The Builder's Association will send a confirmation email upon completion. After that, Hometown Health will have access to your BANN membership status.

  • Upfront payment expedites the membership approval process but it is not necessary.

  • Please have your Contractor's Licence available before starting the application.

Select Health Plan Using eQuote

Brokers may take advantage of easy enrollment using Hometown Health's eQuote. Log in, select the chosen plan, and automatically enroll applicants. For more information about Hometown Health’s Association Health Plan application process, see their BANN Association Health Plan webpage.
link to access eQuote

Arrange for Payment

Estimate* the first month's premium and send the check to:

Hometown Health
ATTN: BANN AHP Billing
10315 Professional Circle
Reno, NV 89521

*Please be aware that rates are subject to change based on final information.

Any discrepancy between the binder amount and the final enrollment will be billed or credited on the first premium bill.

Use this Checklist to Verify You Have all The Necessary Documents to Complete Enrollment

Verify that you have all of the documentation listed below. Upon review:

Upload the documents in the 3rd Step using the eQuote uploader tool (preferred)

-Or-

Send all documents via email to:

enrollment@hometownhealth.org

Document Checklist :

Businesses with owners that do not appear on the State Wage & Quarterly must provide at least one item from the list below:

    • Partnership Business Type - US Return of Partnership Income Form 1065 (Schedule K-1)
    • S Corporation Business Type - US Return of Shareholder Income Form 1120S (Schedule K-1)
    • Limited Liability Company (LLC) with Partners - Form 1065 (Schedule K-1)

    Businesses with "W-2" Employees

    • Most recent filed State Wage & Quarterly 
      • Businesses in operation less than three months must submit Articles of Incorporation along with two weeks of payroll in lieu of the State Wage & Quarterly.
    • Two weeks of payroll receipts for employees that do not appear on the group's State Wage & Quarterly
      • Business Verification Form may be submitted in lieu of payroll at Underwriting's approval
    • Waiver of Health Coverage Benefits for all Eligible Employees who are waiving coverage or are eligible for and/or participating in COBRA.
      • "Eligible Employee" means a permanent employee who has a regular working week of 30 or more hours.

2021 BANN Benefit Trust Fund Age Banded Rates

Use this rate calculator to obtain your monthly premium by selecting the renewal date, county where the business is located, product and membership type.

2021 BANN Rate Calculator – Download Excel File

 

Fill Out These Forms or Use eQuote

Directions: Fill out each form and save the completed form to your computer. Forms can be either emailed or uploaded through eQuote (part 4).

All employees must complete either the Enrollment Change Form or the Waiver of Health Coverage Benefits form.

Fillable Forms:

Application and Adoption Agreement

 

Enrollment Change Form

Waiver of Health Coverage Benefits – for employees waiving coverage

Fill Out These Forms or Use eQuote

Directions: Fill out each form and save the completed form to your computer. Forms can be either emailed or uploaded through eQuote.

All Applicants

Fillable Forms

Eligibility Attestation

 

Common Ownership Attestation

Business Attestation (partnerships with no W-2 employees)

BANN Benefit Trust Fund Association Health Plans

BANN Members save up to 40% on Hometown Health insurance premiums

255

Member Employers Enrolled

4,000

Active BANN Covered Lives

3,200,000

Dollars Saved Since Inception

1,100

Average Yearly Savings ($) Per Employee

Our Partners  

Technical Questions?

Having issues with the signup? Contact our technical support team at Asset Solutions Group.

Contact Us