Since insurance rates vary by age, we require at least the date of birth for all employees eligible for insurance (those working full-time) to provide the most accurate quotes. 

1. Please upload a census of current employees. Please include the following information or click here to download our template

• First Name
• Last Name
• Date of Birth
• Relationship (Employee, Spouse, Child)
• Status (Enrolling, COBRA, Waiving)
• Gender
• Home Zip Code
• Job Title
• Annual Income (if seeking disability quotes)

2. Click here to upload your file securely

If you prefer, you can simply provide the average age of your employees, and we can offer a range of prices based on that information.