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Broker Services
Quote - Connecticut

 

Quote - Connecticut
Broker Services
In order to obtain an accurate quote please fill out the information below and submit to our quote department.  Any additional questions please contact us at (212) 972-1970.If you have a census already on disk please e-mail it to us as an attachment  quote@filco.net or download a .pdf Version of the Cencus to fax to us at 212.972.1126.
 
Today's Date:
Name of Group:
Requested Effective Date:
Location:
Zip Code:
Nature of Business:
SIC Code:
Size of Group:
Download a .pdf Version of the Cencus and fax it to us at 212.972.1126.
Plan Design:
Plan Type: POS NG/POS PPO HMO
Companies: Aetna Anthem Cigna
Guardian/Healthnet Oxford United
Other  
 
Deductibles: $500 $1000 Other 
Co-Pay: $10 $15 Other 
Coinsurance: 80% 70% Other 
Coins of: 5,000 10,000 Other 
UCR Level: 80% 70% Other
RX:
Individual to Fax Quote To:
Fax Number:
Phone Number:
Special Instructions:

 
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