Get a Quote for Group Health Insurance We Shop All the Top Companies Get in Touch With A-1 Insurance Group, Inc. "*" indicates required fields Name of the business* Address* Apt number/unit City State Zip Code County* Phone*Email* Type of business* Number of full-time employees* Number of part time employees What is your current deductible? What is your max out of pocket for the year? Does your plan have a doctor CO pay? Yes No Does your current plan have drug coverage? Yes No Does your plan have group dental? Yes No Does your plan have group life insurance? Yes No Does your plan cover short term disability? Yes No Does your plan cover long term disability? Yes No Does your plan cover Critical Ilness? Yes No Current Group Carrier Name Group Renewal Date MM slash DD slash YYYY Current monthly premium of the group Download Group Health Insurance Employee CensusUpload your files hereMax. file size: 100 MB.HiddenComments and questionsPhoneThis field is for validation purposes and should be left unchanged.