Group Health Insurance

We specialize in innovative ways to make group health insurance affordable for the employer and the employee. These aren’t just words. A common employer feedback is “I’ve never seen options to save money presented so clearly, and I didn’t realize all the options I had.” We spell it out and then remain available for any questions that follow. We help you implement the policy with informative enrollment meetings. Once your policy is in force we are there to help you with any questions or issues that arise. Customer Service is our middle name.

For a custom proposal tailored to your company please just take a couple of minutes to fill out the information below. After that one of our experts will be in contact with you to show you ways to
save money on your company’s health expenditures.

Download Group Census Form Here

Please note that all fields with (**) are required. Please fill out the form below and someone will be in contact with you shortly. Please note that all fields are required. Thank You!

COMPANY INFORMATION

**Name of Company:

**Contact Person:

Address:

City:

State:

**Zip Code:

**Company Phone Number:

Company Fax Number:

**Email:

**Nature of Business:

SIC Code (if known):

**Total Number of Full-time Employees:

**Total Number of Part-time Employees:

Total Number of Employees Enrolling:

Number of Employees on COBRA:

CURRENT BENEFITS
Does your business currently have a health insurance plan?

If Yes:

Carrier:

Type of plan:

Deductible:
$

Co-Insurance:
%

Co-Insurance Max:
$

Office Visit Copay:
$

Prescription Copays:
$

Renewal Date:

Last Year Premium:
$

Renewal Premium:
$

Employer Contribution Percentage:
Employees % Dependents %

What additional insurance plans do you offer (life, dental, etc.)?

Premium:
$

Funding Benefits:

REQUESTED BENEFITS
Please indicate the types of plans you are interested in:

Medical: Type of plan:

Deductible:
$

Co-Insurance:
%

Co-Insurance Max:
$

Office Visit Copay:
$

Prescription Copays:

Secondary Benefits:
Dental Life Vision Cancer Plan Critical Illness
Accidental Supplement Disability Flex Spending Account

Show Variety of Options:

Additional Information:

"My experience with Choice Plus Insurance has been beyond expectations. Compared to the previous broker that we worked with, Choice Plus has given us exceptional service. They were prompt in providing a selection of different companies and health care plans for us and answered all questions thoroughly and to our satisfaction. Choice Plus also helped find the right company to provide life insurance that would cover the sports and activities that we are involved in. All the staff were polite, helpful and knowledgeable and have been happy to assist in ironing out the kinks that occur with any change in policy. Their assistance is ongoing and I know that I can call them at any time to help solve problems. I would not hesitate to recommend their services."

- Carol Barclay