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Online Enrollment

800.422.7617

100 Garden City Plaza

Suite 102

Garden City, NY  11530

About Broker Relations

Quote Requirements

Quote Requirements

Following is the information IBA requires to provide a benefit plan quote.

1. DETAILED CENSUS
(age,sex,marital status, zip codes, salaries)

2. CLAIMS EXPERIENCE – BROKEN OUT MONTHLY WITH ENROLLMENT
(at least two years of recent claims history)

3. LARGE CLAIMANTS – $15,000 OR MORE IN PAID CLAIMS or POTENTIAL CLAIMS
(diagnosis, claim amounts, current status of member)

4. COPY OF THE LAST CONTRACT / APPLICATION COMPLETED FOR STOP LOSS

5. COPY OF LAST BILL

6.
BENEFIT BOOKLET(S) FOR ALL COVERAGES

You may email your information to:

  • If all information listed above is received, the turnaround time for a quote should be 1-2 weeks.
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