Group Health Insurance
To receive a no obligation quote, please download and complete the following forms. Next, email the completed forms to firstname.lastname@example.org to receive a no-obligation quote within 48 – 72 business hours.
- Employee Benefit Census
- Authorization Letter (Please print on your ministry letterhead)
- Health Connect Census Instruction and Sample
- Current Bill for All Benefits Lines
- DE9c (Quarterly Wage Report)