Request for Proposal

To receive a quote, please submit the following:

Preliminary Rates Proposal

  1. Company Profile Form
  2. Group Census with participant tiers (EE, ES, EC, Family)
  3. Copy of Current Plan Design
  4. Copy of Current Carrier Invoice / Rates

Firm Rates Proposal

Under 100 Employees:

  1. Employer Application
  2. Group Census with participant tiers (EE, ES, EC, Family)
  3. Copy of Current Plan Design
  4. Copy of Current Carrier Invoice / Rates
  5. Completed Employee Health Applications

Groups 100 Employees * or More:

  1. Employer Application
  2. Group Census with participant tiers (EE, ES, EC, Family)
  3. Copy of Current Plan Design
  4. Copy of Current Carrier Invoice / Rates
  5. Employer Disclosure Statement
  6. 2 Year Detailed Claims History
  7. Large Claims Report

          * For groups 100 Employees or more, Employee Health Applications are not required.

Send all completed data to your National Insurance Partners representative or e-mail to our quoting queue at: quotes@natinspartners.com.