Request for Proposal

Questions? Please call our Group Plans Consultant at 800-821-7303 ext 1179.

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(including those waiving coverage, on COBRA or retired)
* Please send a proposal for:
If requesting medical proposal, complete current health plan information

(including those waiving coverage, on COBRA or retired)

(per employee)

Office Visit

ER
Employee Census Data

You can send us your census by:

  • File Upload - Upload a file with your census in the box below. (Please include the fields shown below.)

    Upload File:
  • Fax - Download the Request for Proposal and fax to 816-968-0557
Questions/Comments