Request a Quote

To receive a quote for stop loss insurance, please submit the following information by email to  and we’ll get back to you as soon as possible.

  1. Completed RFQ Form
  2. Most recent 12 to 24 months of employer’s month-by-month claims and enrollment data.
  3. List of top 25 to 50 drugs itemized by cost.
  4. Copy of the current benefit schedule or Evidence of Coverage (EOC) or employer’s Summary Plan Description (SPD).