For each employee, include the Employee's name (plus any dependents including gender, relationship & DOB) and Type of Coverage (Medical, Dental, Vision, Life, etc.) Level of Coverage (i.e., Employee only, Employee & Spouse, Employee & Children, or Family), Date of Birth(s), Gender(s), and Zip code.
Note: We will need Job Titles and Salary information if you want us to quote Disabiilty or Life coverages.