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Census Information

In order for us to provide you a group health insurance quote, we will need to collect some information about your company. Below we have two different ways to provide this information. We have a PDF census that you will print out and fill in or an excel that can be done on your computer with the file emailed to us. If you would like to provide us this information over the phone or some other way, please feel free to call us at 913-538-7043.

 

The PDF census version is here. This will allow you to print out the form, hand write the info and fax over to us.

The excel version is here. This will allow you to fill out your census information and email it over to us.

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  • group_health_ins An easy way to get a group health insurance quote.  Fill out one form and receive quotes from some of  the best insurance carriers in Kansas & Missouri.
  • noteHave questions or short on time?  Use our quick contact form! One of our professional agents will collect your information over the phone and answer any questions you might have.
 
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