Company Health Insurance Profile

Date

Business Name

Address *

City

State

Country

Postal code

First Name *

Last Name *

Title *

Mobile phone *

Business Email *

Company's Website

Primary Business

Total Number of Full Time Eligible Employees

Do you currently have Group Insurance?

Attach your current Company Census “I”.

Upload Excel Spreadsheet

Renewal from your current Insurance Carrier

Upload PDF

Who is your current Group Health Insurance Company?

What is your Open Enrollment Date “I”?

If you are new to Group Health Insurance, here is a blank Census “I”

BUSINESS OBJECTIVES

Learn the difference between Fully Insured and Level Funded Plans

Learn why I should have a Level Funded quotes

Learn How to manage Medicare Eligible Employees

How to custom my plan(s) to optimize my premium payments

Which are the best local and national networks

Why I should get multiple and competitive quotes

How to use a high deductible option and mitigate financial liability

Your appointment preference:

Phone meeting

ZOOM meeting ( Best Option)

Upon Submitting your profile, wait for the calendar to open and make an appointment