Contact Us /
Request a Quote
Requesting a Quote:
The following guidelines can be used for submitting a request for quote.
Currently Self Funded with Stop Loss or Experience Available:
- Minimum of 25 covered lives
- Excluded industries: PEO's, Membership Organizations, Offshore Mining
- Current rates and factors
- Effective Date
- Current and proposed plan designs
- Requested Specific and Aggregate levels and contracts
- Employee census (Gender, Age or DOB, Dependent Coverage Indicator, Zip Code)
- Two (2) years of monthly claims and lives
- Two (2) years of large loss experience
Currently Fully Insured <100 employees (No Experience Available)
1 through 8 above, plus current fully insured renewal from carrier and the 2 prior renewals.
Quote submissions should be emailed to: email@example.com
If there are any questions regarding a quote submission, please contact us.