Group Health
Application Process
Benefit Questions
Claims
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Did You Know!

The Value of a Broker
There is no fee for our broker services.
There is no increase in your premium
for broker services. Let us do the
homework for you. We can help you
find the plan that leaves the most
money in your pocket.
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COBRA/State Continuation
Know your rights and responsibilities.
COBRA law applies to groups of 20 or
more. State Continuation law applies
to groups of 19 and less.
READ MORE>

Full Coverage for Everyone!
If you've been declined or are at risk
of being declined coverage there
are still options. Ask us about the
Illinois Comprehensive Health
Insurance Plan (CHIP).
READ MORE>

Online Quote Request for Individual, Family or Business

For a quote request, please complete the following information.

Street: City:
BUSINESS INFO (skip if not a business)  
Total Employee Count: SIC#:
Industry: Years in Business:
PLAN PREFERENCES  
Coinsurance %: Deductible $:
I would like a quote for:
Health     Dental     Life     Disability

CENSUS INFORMATION
Insured

Birthdate
(e.g.
030571)

Gender Spouse
Birth
date
Gender No. of
Children