Before we begin
This is not a quote, and there's no obligation. A few things to know before you start:
Your answers are kept confidential and used only to build your analysis.
We never sell or share your information for marketing purposes.
Nothing you submit is sent to insurance carriers or any other outside party without your explicit authorization.
Read our full Privacy Policy
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ZIP Code*
Renewal Date*
Industry*
Select Industry
Manufacturing
Construction
Distribution & Logistics
Professional Services
Non-Profit
Healthcare
Retail
Hospitality & Food Service
Technology
Financial Services & Insurance
Real Estate
Transportation
Education
Agriculture
Automotive
Energy & Utilities
Government & Public Sector
Other
Eligible Employees*
Enrolled Participants*
Current Funding Arrangement*
Select One
Fully Insured
Self-Insured
Level Funded Captive
PEO
Not Sure
Current Plan Design* (select all that apply)
Please select at least one option.
How well do employees understand and use their current benefits?*
Select One
Not very well
Somewhat
Very well — high engagement
Don't know
As best you can, rank your priorities for what you want to do? (top = highest priority)
We know you probably want all of these, but if you had to prioritize, drag each tile up or down into your order of importance.
1
Decrease costs
2
Keep employees' plans at current level
3
Decrease employee out-of-pocket expense or improve the plan
4
Better employee understanding and engagement with our package
What was your latest renewal increase?*
Select Range
0–9%
10–19%
20%+
One last question.
Click Submit below to send your request — or strengthen it first with a few optional documents.
Before you go, in your own words, what else should we know and what would be your optimal outcome?
Submit
Strengthen My Analysis
Strengthen Your Analysis
Optional — the more we can see, the deeper the analysis. Nothing is uploaded here: after you submit, we'll send you a secure, private link to share whatever you're able to provide.
Better Analysis
A solid step up from baseline.
Current renewal notice
Summary Plan Description (SPD) for each plan
Contribution schedule
Voluntary benefits summary
Census with date of birth
Get Secure Link for Better Analysis
Best Analysis
Everything in Better, plus:
Dependent-level census
Claims data, if available
Stop-loss or captive policy details (if applicable)
Renewal history (past 2–3 years)
Voluntary and ancillary program details (dental, vision, life, disability, etc.)
Get Secure Link for Best Analysis
None of this is shared with insurance carriers or any other outside party without your explicit authorization. After you submit, we'll email you a secure, private link so you can share anything above safely — nothing to upload here. This information is used only to perform a non-underwritten analysis — it will not be used to generate an insurance quote without your expressed permission.
Submit
No obligation. We'll follow up with a secure link so you can share any of the details above.
This is not a quote — information submitted is used only to generate an initial AI analysis.
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