receive a Group Health quote, you must provide demographic information
about your business and employees.
The following general information about your company and employees is
Once the above information
is gathered, click Proposal Request Form for
Groups section to obtain a personalized no-cost, no-obligation proposal
or call toll-free 1-800-349-1039 (8:00 - 4:30 C.S.T.). We'll send you information
on several plans that might interest you.
- Employees' date
- If spouse is to
- If children are
to be covered
- Total number of
- Primary zip code
- SIC code
Home Page / About MMIC
/ How to Receive a Quote
Individual and Family Health Plans / Proposal
Request Form for Individual and Families
Group Health Plan / Proposal
Request Form for Group / Contact Us
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