Request for Group Medical Insurance Quote

Use the BrokerFish Marketplace to source International Employee Benefits

The more information you provide the better we can tailor our offer to your needs
Contact name*

First NameLast Name
Company/organization name*
Contact email*
example@example.com
Contact Phone Number

Country CodeArea CodePhone Number
Group MedicalGroup TravelGroup lifeEAP (employee assistance program)Group disabilityKidnap and ransom coverageGroup Personal AccidentOther
Inpatient/hospitalizationOutpatientWellness/health-checksDentalMaternity
WorldwideRegionalWorldwide excl. USANational (only where you reside)
< 526 - 1006-25> 100
If you do not have a census file, please feel free to download our template here (excel file downloadable from Dropbox):

Census file

Medical insurance require date of births, nationality and resident country for all employees and dependents (if any) to produce an offer. Other risks require additional information, let us know your needs and we will guide you to obtaining a competetive offer .
Please attached your census file if available.

Cancelof
Desired start date or renewal date of your existing policy

DayMonthYear
Describe what coverage you are looking for, your budget if available, if your group have current coverage and looking for an alternative. The more information you provide the better we can tailor our offering to you.
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Please verify that you are human*
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Use the BrokerFish Marketplace to source International Employee Benefits