Small Group: Submit for Quote

2-99 employees on the plan

Currently fully insured or level funded

Securely submit the following to sales@alliednational.com

• Group name / address / SIC code
• Effective date
• >20, member level census + 4 risk questions
• <20, health applications (Paper, Ease, Easy Apps, Form Fire, EHealth App)
• Current renewal & copy of most recent bill
• Annual renewal premium
• Relevant history & health plan details