IXSolutions Group Quote Request Form

Quote Request

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Group Quote Request Form

In order to provide you a quote, we will need some basic company and employee information. Please use this short form to request a quote for your business

* Required fields

Company Info

Company Name: *

Street Address: *

Zipcode: *

City: *

County: *

State: *

SIC Code: *

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# of Full Time Employees: *

Contact info

First Name: *

Last Name: *

Email Address: *

Business Phone: *

Select Products to Quote

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Medical Group health insurance plans available through the nation's top-rated insurance companies.

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Vision Coverage for your employee's eye exams, glasses, contacts and more.

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Short Term Disability Provide income replacement during short leaves of absence, such as maternity leave. Employee’s salary and occupation will be required in addition to general demographic information to request a quote.

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Dental Coverage for your employee's preventive, basic and major dental services.

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Long Term Disability Provide income replacement during permanent or long periods of absence resulting from an accident or illness. Employee’s salary and occupation will be required in addition to general demographic information to request a quote.

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Compliance Services Compliance documents such as WRAP and POP documents.

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Life Insurance Employer paid life Insurance provides peace of mind to employees and their families. Employee’s salary and occupation will be required in addition to general demographic information to request a quote.

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Pet Insurance Make voluntary pet Insurance available to your employees at no cost to you.

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Legal Services Give your employees the support they need to be financially prepared and protected. MetLaw® provides unlimited access to a national network of 14,000+ experienced attorneys.

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Hospital Indemnity Hospital stays can be costly. Hospital Indemnity helps pay for hospitalization expenses that medical insurance and saving don’t cover.

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Accident Accidents happen. Help your employees cover the unexpected costs related to an injury.

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Critical Illness Benefits are paid directly to your employees to help them avoid the financial strain of a major illness.

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Auto and Home With group discounts and 24/7/365 claims service, adding auto and home insurance is an easy decision. Complete the full suite by offering auto and home plans to your employees at a discounted rate.

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