Welcome to the Broker Portal

The Following Actions and Items are Required to Receive a Quote


  1.   Start by Downloading Your Application Here .
2.   Complete and Save the Application to Your Device.
3.   Upload Your Application Along with the Following Items on the Next Page
  • Group Census in Excel format to include DOB, Gender and Tier Coverage.
  • Current Primary Health Plan Summary of Benefits and Rates.
  • Renewal Plan Summary and Alternate High Deductible Quote Options.
  • If Prior Gap Coverage, Copy of Renewal Rates and Plan Summary.
    *This information is not required but is helpful