Request a Quote for Employer Group Insurance Benefits

Get a quote — It'll be painless, we promise.

Complete the form below, or email ( or fax (206.556.2994) your census to us.

It typically takes just a few days for us to shop the full market. We will confirm receipt and get right to work!

Employee Group Quote Request Form

Group Census Form PDF
Group Census Form Excel File

Please click on the above links to download your Census form, either PDF or Excel & email or fax the form to us. We will get right to work!