GET A QUOTE

Submission Requirements

• Complete Census: Including year of birth, single/family status, gender, zip codes, COBRA, and retiree information.
• Benefit Plan Information: Current and proposed benefit plans.
• Specific Deductible Information: Current and proposed deductible amounts as well as information on any lasered individuals currently on the plan
• Managed Care Information: Current and proposed networks.
• Paid Claim and Enrollment Information: Month-by-month information for three years (if possible).
• Shock Claims Information: Including dollar amount, diagnosis, and prognosis.
• Detailed Description of Business: Including SIC code (if possible).
• Current Rates, Factors, and Funding Mechanism: If currently fully insured, please provide current and renewal rates.

Send submissions to quotes@iatmgu.com.