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In
order to receive a proposal, you must provide certain information since
health premiums are based on age, location (zip code), gender, etc. The
information provided over the internet will be protected the same way
if the information was provided by phone, in person, or through the mail.
Choose one of the following so we can send you in the right direction
for the health plan that best meets your needs:
Quotes for Individual and Family Plans - Not Offered Through An Employer
- The personal information
needed:
- Name
- Address
- City, State,
Zip Code
- Date of Birth
- Gender
- Spouse & Children
information, if applicable
Click Proposal
Request Form For Individuals and Families to provide the above information
on-line.
Quotes for Group Health Plans (2 or more employees) Provided Through an
Employer
- General Information
about your company and employees should include:
- Name and Address
of Business
- Total Number
of Employees
- SIC Code
- Employees'
Age
- Spouse & Children
Information
Click Proposal
Request Form For Groups (2 or more employees) to provide the above information
on line.
Our goal is to develop a health insurance proposal within 2 business days.
However, if any items are not submitted or incomplete, a delay may occur
in the issuance of your proposal.

Home Page / About MMIC
/ How to Receive a Quote
Individual and Family Health Plans / Proposal
Request Form for Individual and Families
Group Health Plan / Proposal
Request Form for Group / Contact Us
/ Privacy Policy
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