Get an idea on how much you could save. Get a free quote on domestic U.S. level self funded health insurance – It’s easy. Here’s how: We would be happy to get you a free quote, or answer your questions on how much you can save with a domestic level self funded health insurance plan or how to set it up: The following information is necessary to see if we can save you money while keeping your benefits the same or even improving your benefits for less. Your staff will not see any change in how they use their health plan. About You: First Name * Email * About your business: Organization Name * Organization’s Address City State Postal Code Number of employees? Nature of your business/group? About your current health coverage: Currently insured by: Insurance renewal date? Are all the employees in one state? (If not, please explain) If you just have questions or would like us to collect information in order to get you a quote, please include your phone number below. Phone Lastly, what do you most like/dislike about your current plan? Next step: Download our census and fill it out. Send it in to firstname.lastname@example.org We will confirm receipt and be in touch! Thank you! Questions? Email us or call (480)813-9100.