Non-Negotiables
Contracts:
Reseller → get drafted and signed
One SPD → get drafted for templates
SPD and stoploss policy signed by 30 days or Yuzu services pause
Configuration:
Banking: Stripe-hosted one (1) FBO per group, completed in New Group Onboarding which is coordinated by Plan Designer’s team
Invoicing: ACH pulls only, no checks.
Invoicing: Each vendor (PBM, brokers, DPCs, etc.) are responsible for loading and verifying their own banking information.
Data: No custom file feeds for point solution vendors - standard specs only
Operations:
Comms: Plan Designers gets in Slack for instant communication
Invoicing: Group invoiced on 25th of month, pulled on the 1st
Deadline for groups: Finalized in portal 1 week pre-effective date
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
Simplifications that make life easier and lower your PEPM
Plan Year deductibles.
No Accums loading
COBRA = Yuzu managed
Eligibility = Yuzu portal, API, or already integrated HRIS
No grandfathered groups under 500 EEs
All groups must fund at the maximum - no reduction in agg factors, no check runs.
