Group Health Insurance Quote

Attached you will find the census form needed in order to receive and distribute accurate and thorough rate quotes for new and existing groups with 2-50 employees. For groups over 50, please contact Michael Federici directly for further instruction on how to obtain rates. As stated on the census, all information is required in order to obtain rates.

Once census request form is complete, please email directly to Michael Federici at or via fax at 800.920.7992.

SKA Producer Services census.xls