Corporate Benefits Solution, LLC About Us

Corporate Benefits Solution, LLC

Online Quote - Group That Is Currently Fully-Insured

Bid Specifications

Total Number of Eligible Employees:
Total Number of Enrolled Employees:
Street Address:
City:
State:

Zipcode:

Nature of Business:
Date Quote Needed:

Rates & Benefits

Anniversary Date:
Current Medical Carrier:
Proposed Effective date:

Current Rates:
Single/Family:
Single Family
3-Tier:
EE EE+1 EF
4-Tier:
EE EC ES EF

Renewal Rates:
Single/Family:
Single Family
3-Tier:
EE EE+1 EF
4-Tier:
EE EC ES EF

Current Benefits Schedule:
Claims History (If Available):

Broker Info

Quoting Broker:
Broker of Record:
What level of Commissions are Included in Current Rates:
Producer Commissions Requirements:

Census

Provide Current Census in Microsoft Excel or Word Format:
• Date of Birth
• Gender
• Dependent Elections (EE, EE+SP, EE+CH, EE+FAM)
• Multiple Plans (Please include identifier)
• Multiple Locations (Please include location identifier)
• Zip Codes