Hive Health - Request a Quote

Tell us about your company.
Your Name *

First Name Last Name
Your Company Name *
Your Position
Your Company Email *
example@example.com
Your Company's Website
Your Company's Industry *
Other
Number of Employees *
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Do you currently have an HMO? *

None. This is our first time getting an HMO. Yes, but our existing plan is about to expire.

Great! Can you share a few more details?
Current HMO Provider *
Renewal Date *

Month Day Year
Date
Any budget per employee?
Type N/A if none.
Any desired coverage amount per employee?
Type N/A if none.
Why are you interested in changing your HMO provider?
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Great! Can you share a few more details?
Why are you interested in getting an HMO provider? *
Any budget per employee?
Type N/A if none.
Any desired coverage amount per employee?
Type N/A if none.
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Thank you for considering Hive Health as your health plan partner!

We are currently only accepting companies with at least 3 people, but we'll reach out to you if we can serve your team. Can we please for additional information below?
Current HMO Provider (if applicable)
Type N/A if none
HMO Renewal Date (if applicable)

Month Day Year
Date
What are you looking for in an HMO provider? *
Any budget per employee?
Type N/A if none.
Any desired coverage amount per employee?
Type N/A if none.
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Thanks for sharing your company's healthcare needs!
Anything else you want to ask about?
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