Small Business Health Plans

Are you looking to for affordable Georgia small business health insurance? Then look no further, GAHIN provides small business owners with the resources they need to find the right health insurance for their small company. As a leader in group benefits for Georgia small businesses, GAHIN can address the concerns that matter most for companies; cost, coverage and support. Working with a large selection of carriers, we can provide access to brokerage services from leading health care providers that include BCBS of GA, Humana, Celtic, Aetna and Kaiser Permanente. Learn more about why many employers frequently review their small group health insurance plans.

Georgia Small Business Health Insurance Quote Form

This is a request for a quote, not a policy application. Submitting this form does not obligate you to purchase any products. Please complete this form as accurately as possible and one of our associates will contact you within 24 hours. Insurance rates are subject to change.

Name
Company Name
Address
City
State
Zip
E-mail
Phone
Fax

General Information

Total number of Employees
Number of Employees working more than 20 hours/week
Employees working more than 20 hours waiving coverage
More than 50 Employees in the previous calendar year? Yes No
Number of Employees participating
Number of Employees employed in Missouri
*Percentage Employer contributes toward Employee Cost
Current Health Care Carrier
Renewal Date
*Most Small group plans require 50% employer contribution.

Preferences

Coverage type? Major Medical 80/20 with deductible
250 500 1000 deductible
Co-payment (High Coverage Option)
Dental Coverage? Yes No

Companies Plans Requesting Information On

BlueCross BlueShield of GA
Health Net
Kaiser Permanente

Employee Census

(The Employee Name is optional, Sex and Employee Date of Birth (DOB) are mandatory, Spouse's DOB must be included if requesting coverage, Children's ages must be included if requesting coverage and should be separated by commas

Employee

Name

 Employee

DOB

 Spouse

DOB

 Dependent Children

Ages
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
Employee

Name

 Employee

DOB

 Spouse

DOB

 Dependent Children

Ages
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.

Please comment on any employees over 65 and not on Medicare.

Additional Comments

 

 

 



Copyright © 2006 Georgia Health Insurance Network | Small Business Health Insurance