fbpx

We will prepare a customized employee benefits proposal for your business.

  • By providing your phone number, you consent to receive calls and text messages from us related to your inquiry or services.
  • By providing your email address, you consent to receive emails from us related to your inquiry or services.
  • A census should include the names, dates of birth, gender, zip codes, desired enrollment status (employee only, employee + spouse, employee + children, family coverage) and tobacco usage (Y/N) for ALL employees AND dependents. If you want to offer life or disability insurance, we will also need annual salary amounts for all employees. Here's a template if you need it!

    Excel Version


  • Max. file size: 64 MB.
  • This field is for validation purposes and should be left unchanged.