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Please mail, fax, or e-mail the following information to us for a
quote.
Information Required
for a Quote: Census:
- Employee Name
- Dates of Birth or
Age
- Gender (male or
female)
- Elected Coverage
(Single or Family)
Plan of
Benefits:
- Deductible
- Benefit
Percentage
- Out-of-Pocket
Maximum
Rates:
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Mail:
- 3900 Westown Parkway, Suite C
PO
Box 65887
West Des Moines, IA 50265
Fax:
- (515) 223-5891
Attention:
Marketing Department
E-mail:
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