Group Health Quotes

Asuris Northwest Health GroupHealth Premera Blue Cross Assurant Health

eQuoteAssist has carefully researched Washington’s health care policies and can help you determine which heath care insurance plans will improve your bottom line while providing essential benefits to your valued employees.

To receive your free quote, submit your company
census as instructed below…

 

 

Not an Excel user?

Open and print your Census form. Completed forms can be faxed to: (888) 468-9078.

Printable .PDF Census Form

Tips to Remember

Please provide a copy of the benefit summary and most recent billing statement(s) for all of your group plans.

CLICK HERE to open the Excel Census File. Please make note of all three sheets.

Please identify each employee with an A for Active, P for Probationary period, W for Waive, IE for Ineligible or C for COBRA in the 1st column.

  • Please refer to the Key to assign the appropriate tier for each employee.
  • Please include the number of children after the tier and their age in the Child Age(s) column.
  • Only complete Occupation and Salary if quoting Life, STD or LTD.
  • All COBRA participants need to be included in the census and identified.

——————–> Click here to fill in your on-line Census Form in Excel format <———————

  • Edit letterhead, print, sign and fax the “Letter of Authorization” (sheet three).
  • Save your Census in .xls format and send in as an e-mail attachment to contact@eQuoteAssist.com.

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