Yuzu Best Practices

Non-Negotiables

1. Contracts:

   1. Reseller → get drafted and signed

   2. Our SPD → get drafted for templates

   3. SPD and stoploss policy signed by 30 days or Yuzu services pause

   4. All groups must fund at the maximum - no reduction in agg factors, no check runs. 

2. Configuration:

   1. Banking: Stripe-hosted one (1) FBO per group, completed in New Group Onboarding which is coordinated by Olive Branch’s team

   2. Invoicing: ACH pulls only, no pushed funds, checks, or other.

   3. Invoicing: Each vendor (PBM, brokers, DPCs, etc.) are responsible for loading and verifying their own banking information.

   4. Data: No custom file feeds for point solution vendors - standard specs only

3. Operations:

   1. Comms: Plan Designers gets in Slack

   2. Invoicing: Group invoiced on 25th of month, pulled on the 1st Deadline for groups: Finalized in portal 1 week pre-effective date

   3. Member Support: No first line member support (we still pickup the phone and help members, we are just not the plan designer)

   4. Plan Design: We set your plans up for you, you stick to those. Let us know if you have a change beyond deds/MOOPs or copays/coinsurance.

Strong Biases

• Strong Biases: (to make life easier for all of us and give you a lower PEPM)

  1. Plan Year deductibles.

  2. No Accums loading

  3. COBRA = Yuzu managed

  4. Eligibility = Yuzu portal (Employee Navigator is pretty good FWIW)

  5. No grandfathered groups under 500 EEs