SIMNSA Health Plan

Standard Broker Commissions

View:
Product Icon Medical
7%
Group Size: 1+
Product Icon Dental
7%
Group Size: 1-100

The information herein was collected from sources deemed reliable including information from various carriers. We have not verified nor can we guarantee the accuracy, timeliness or completeness of such information, which is provided on an “AS-IS” basis. It is solely your responsibility to verify this information before making decisions or incurring costs based on such information.  Further, you should contact the carrier for full details regarding the products and programs contained herein.

Carrier Contacts & Renewal Services

Carrier Contacts

Broker Support
Employee Add/Term/Change Form Submission
Employer Change Form Submission
Invoice Request
Carrier Appointment
Broker of Record Changes

Renewal Services

Contact Info

Guides & Resources

Enrollment Kit Icon
Small Group Enrollment Kit

Find everything you need to enroll with confidence. Our Carrier Enrollment Kits include the most up-to-date forms, applications, and brochures for each health plan we represent.

Organized by carrier and region, these kits make it easy for you and your clients to get started quickly and accurately.

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Summary of Benefits & Coverage

Summary of Benefits & Coverage provides a centralized location to view and download standardized summaries for each carrier and plan.

These documents help your clients make informed decisions by clearly outlining coverage details, cost-sharing, and what to expect from their plan.

Provider Search Icon
Provider & Rx Search

Help clients find their doctors and medications with ease. Our Provider & Rx Search gives you direct access to each carrier’s search portal, so you can quickly verify doctors, specialists, hospitals, and covered prescriptions.

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RX and Bin Numbers

Rx BIN Number and PCN are not applicable to cross-border health plans. Pharmacy benefits must be filled within SIMNSA’s network in Mexico

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New Hire Rating Rules

New hires are based on hire date and waiting period according to the group’s policy.

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ID Cards

Member App for downloading ID cards

To obtain ID cards, download the SIMNSA Mobile App from Google Play or the Apple App Store.

Member Web access instructions on how to access online account

Visit simnsaee.net to create a member portal account.

Can a broker download ID cards?

No, brokers cannot download ID cards.

Do dependents receive ID cards?

No, SIMNSA sends out two ID cards; typically, dependents do not receive one.

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Prior Carrier Deductible Credit

Prior Carrier Deductible Credit is not applicable, as SIMNSA plans do not have deductibles.

Prior Carrier Deductible Credit and Out-of-Pocket Maximum (OOPM) carryover are not applicable.

No Prior Carrier Deductible Credit form is required.

For additional information, members should contact SIMNSA Health Plan.

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Medicare Part D Creditable Coverage (2026)

All SIMNSA Small Group plans are considered creditable for the 2026 plan year.

Page Last Updated: July 16, 2026