What is Needed to Get Rates
Benefit Summary – your current insurance plan summary
Invoice – your current insurance bill or invoice
Wage & Tax Report – your most recent state wage and tax report
Iowa = Form 65-5300 | Nebraska = Form UI 11W
*if required documents are not available to attach or mail at this time, the Benefit Advisor team will follow up with you to get the additional information needed.
How Do I Get Rates
Complete this online form and attach required documents.