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Contracting
ACA Contracting
Off-Exchange
Ancillary & Dental/Vision Contracting
Medicare
Private Medical Contracting
Life Insurance Contracting
Group Health Contracting
All Carriers
Platforms
Spark
Lucie Health
HealthSherpa
Slack
Resources
About
Contact
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Independent HEalth Agents | For Brokers
Employer Group Coverage
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Business ZIP Code:
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Email Address:
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Agriculture, Forestry, And Fishing
Mining
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Manufacturing
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Wholesale Trade
Retail Trade
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Other
Please enter the SIC Code appropriate to your business. If you are unclear of which SIC Code to use, please consult OSHA's SIC Code reference guide,
available here
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Effective Date:
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Existing plan carrier(s)?
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Please include all full-time eligible employees that may enroll any group benefit plan. Ineligible employees such as part-time workers can be excluded.
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Accepted file types: xlsx, pdf, csv, Max. file size: 10 GB.
If you do not have an employee census already prepared, please
download and use our template file
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