Group Health Insurance

We at Kansas Preferred Insurance Group represent over 60 top insurance companies that provide quality, wide-ranging policies for competitive prices—looking to combine your policies? Your price gets even better with a multipolicy discount. Our experienced agents will guide you through the process and help you determine what coverages are right for you.

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Group Health Insurance Quote Request

Company Name

Contact Person

Total Number of Full Time Employees

Phone

Nature of Business

Requested Effective Date

Number of Employees To be on Plan

Select an Address

Employee Name

Gender

Date of Birth

Spouse DOB

# of Children

Coverage (See Below)

Home Zip Code

Employee Name

Gender

Date of Birth

Spouse DOB

# of Children

Coverage (See Below)

Home Zip Code

Employee Name

Gender

Date of Birth

Spouse DOB

# of Children

Coverage (See Below)

Home Zip Code

Employee Name

Gender

Date of Birth

Spouse DOB

# of Children

Coverage (See Below)

Home Zip Code

Employee Name

Gender

Date of Birth

Spouse DOB

# of Children

Coverage (See Below)

Home Zip Code

Employee Name

Gender

Date of Birth

Spouse DOB

# of Children

Coverage (See Below)

Home Zip Code

Employee Name

Gender

Date of Birth

Spouse DOB

# of Children

Coverage (See Below)

Home Zip Code

Employee Name

Gender

Date of Birth

Spouse DOB

# of Children

Coverage (See Below)

Home Zip Code

Employee Name

Gender

Date of Birth

Spouse DOB

# of Children

Coverage (See Below)

Home Zip Code

Employee Name

Gender

Date of Birth

Spouse DOB

# of Children

Coverage (See Below)

Home Zip Code

Employee Name

Gender

Date of Birth

Spouse DOB

# of Children

Coverage (See Below)

Home Zip Code

Employee Name

Gender

Date of Birth

Spouse DOB

# of Children

Coverage (See Below)

Home Zip Code

Employee Name

Gender

Date of Birth

Spouse DOB

# of Children

Coverage (See Below)

Home Zip Code

Employee Name

Gender

Date of Birth

Spouse DOB

# of Children

Coverage (See Below)

Home Zip Code

Employee Name

Gender

Date of Birth

Spouse DOB

# of Children

Coverage (See Below)

Home Zip Code

Employee Name

Gender

Date of Birth

Spouse DOB

# of Children

Coverage (See Below)

Home Zip Code

Employee Name

Gender

Date of Birth

Spouse DOB

# of Children

Coverage (See Below)

Home Zip Code

Employee Name

Gender

Date of Birth

Spouse DOB

# of Children

Coverage (See Below)

Home Zip Code

Coverage(s) Needed

E = Employee Only

ES = Employee & Spouse

EC = Employee & Child(ren) Only

FF = Full Family Coverage

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Group Health Insurance

Group Health Insurance Quote Request

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