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 RI  Small Business Health Insurance Quotes
Group Health Insurance Quote Form
(For RI small businesses  with 2+ owners/employees only)

    Company Name: City,State   
    Zip code:  Company Phone: :Name(s) of
      CEO/President/  Principal/Partners/Owner(s) if under 20 employees  or Controller /Human Resources for 20+)  

      (Required)        
      Email address(es)  of the above (Required)
      
 
IMPORTANT:Quotes and unique customized savings strategies take hours of preparation. We've saved groups as much as $6000 per employee per year in health insurance premium savings while showing the employer how the group can obtain the same or better  protection while enabling them to keep most of their tremendous savings! We don't want to waste your time or ours! Please make sure our terms are acceptable specified in our brochure  listed under "The Process". Link to the brochure here.

Choose One:

Choose One:  
Please Provide the Following Required Info:
Employer contribution %-: (Must be  at least 50% of  employee's cost not including dependents.)    Current  group Monthly Premium- :   Individual Rate/Month  Family Rate/Month  Other ie employee+children or employee+spouse  rates if applicable Anniversary Date:Exact name of current plan, carrier name  and type  (ie HMO, POS, PPO) -:      

   Before we provide our census info, we have a few questions. Please call us at your earliest convenience.
                       
                              Census Information - required to calculate rates
      
   Employee/Name (optional)             Sex        Age             Spouse           Children
                                                                                  (M,F)                              (Age)               (number of)

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