Yes. Total paid claims experience and individual participant claims experience are required on all currently self-funded groups, as well as all fully insured groups over 100 employee lives. Fully
insured groups of 25 to 100 employee lives must provide total paid claims and individual participant claims experience when available; when unavailable, manual stop loss quotes can be issued. On all cases where individual participant claims experience is unavailable, IMQs are
required as a part of the sold-case disclosure and final underwriting process.