Request an instant Proposal

The Mini Medical and Limited Medical Sales & Worksite Conference has made it simple for you to obtain a mini-medical or limited-medical plan for your client or employer group. Just fill out the form below and instantly your request for a proposal will be sent to up to 20 of the top limited medical and mini medical carriers will directly send you a proposal. Eliminate the time of researching online, emailing and calling carriers and marketers of limited medical plans and mini medical plans when you can do it all with the click of a mouse!

Fill the form below to Request your proposal:

* Agent Name:
* Agent Firm:
* Agent Email:
* Agent Phone #:
* Agent Website address:
City/State:
Industry:
* No. of eligible employees:
* Total No. of employees:
Proposed Effective Date:
Any employer contribution?:
If contribution what % of premium:
Is this replacing a current plan limited medical plan?:
If so what carrier and how many participating lives are there: