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For individual coverage click here
For group plans, we have included the ability to submit a Census file to us so we can more accurately and quickly respond to your request. This file is an Excel file and the first row defines the information we need in the column headings. The information needed varies based on how many employees your company has:
- Click on one of the below files, based on how many employees you have.
- Save the file to your computer and input the information.
- When completed, please return to this page, fill out the form below and upload the completed census file.
If you have any questions, please do not hesitate to contact us at 281- 890-7069 or toll free 1-800-238-6788
For companies with two to 50 employees, please download and complete this spreadsheet - Small Census.xls
For companies with 51 to 300 employees, please download and complete this spreadsheet - Mid Market Census.xls
For companies with 301 to 2,000 employees please download and complete this spreadsheet - Large Market Census.xls
When completed, please return to this page and upload the completed spreadsheet in the section below. |