Agent quoting and applications
Before submitting any applications for clients, please review our agency and agent appointment procedures.
Agent application resources
Marketplace Individual & Family
Employer groups
See how Prevea360 provides for employer groups of all sizes.
Base quotes can be obtained by contacting the Prevea360 Sales Department at 1-877-230-7615. Send applications and RFPs to sales@prevea360.com or fax to 920-351-4630.
Provider care and coverage brochure
Small Group
(Employers with 2-50 employees)
2024
2023
- 2023 small group plan book
- 2023 small group plan book (en Español)
- Solicitation disclosure
- Eligibility certification form
- Small group submission checklist
- Get an online quote (online quotes are only available for small businesses with 2-50 employees)
Large Group
(Employers with 51 or more employees)
2024
2023
- 2023 group plan book
- 2023 group plan book (En Español)
- Employee health history (required for groups that don't have three years of claims/premium information with their current insurer)
- Large group quoting checklist