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.