Get A Quote

To receive a quote from Lifestyle Health Plans:

PRELIMINARY RATES PROPOSAL

1. Company Profile Form
2. Lifestyle Group Census with participant tiers (EE, ES, EC, Family)
3. Copy of Current Plan Design
4. Copy of Current Carrier Invoice / Rates

FIRM RATES PROPOSAL

Under 100 Employees:

1. Company Profile Form
2. Lifestyle Group Census with participant tiers (EE, ES, EC, Family)
3. Copy of Current Plan Design
4. Copy of Current Carrier Invoice / Rates
5. Completed Employee Health Applications

Groups 100 Employees * or More:

1. Company Profile Form
2. Lifestyle Group Census with participant tiers (EE, ES, EC, Family)
3. Copy of Current Plan Design
4. Copy of Current Carrier Invoice / Rates
5. Employer Disclosure Statement
6. 2 Year Detailed Claims History
7. Large Claims Report

* For groups 100 Employees or more, Employee Health Applications are not required if detailed claims history is available.

Send all completed data to your Lifestyle Health Plans sales representative or e-mail to our quoting queue at: quotes@medova.com.