Quote Request Form

 

 

Watch the video and then complete the webform.  Video notes to help you:

Legal Company Name – This is the legal name of your company, which might be different than what we have in our system.

Proposed Vendors – Simply enter the TPAs and PBMs we would be receiving data from on the groups you are quoting.

Client Information Template – Download the template and simply add the # of medical plan enrolled employees for the groups you are quoting.  Then upload that file and submit.

After you submit your block of business, we will provide you a quote typically withing 24-48 hours. 

contact us

888-666-8115

Email Us

mailing address

2131 Woodruff Road  |  Suite 2100, #133

Greenville, SC  29607