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Get an Quote for Employee Benefits Insurance

Including Minnesota Group Health Insurance, Dental Insurance, Vision Insurance, Disability, HSA/FSA/HRA and Retirement Plans.

Contact Information

Contact E-mail*
Contact Person*
Company Name*

Company Information

Street Address*
Do you currently have group insurance?*
Are you willing to work with a new agent?*
Upload group plan design if availble
Upload group billing if available

Group Census

Upload group census if available

If you do not have an electronic census available for upload, please enter your employee information below. Be sure to enter the information if the following format:

Employee Last Name, Employee Age, Spouse Age, # of Children

EE 1
EE 2
EE 3
EE 4
EE 5
EE 6
EE 7
EE 8
EE 9
EE 10
EE 11
EE 12
EE 13
EE 14
EE 15