Quote Requests
Please complete the applicable forms below and forward to our office via fax or email for an Insurance quote.
Your request can be faxed to 847.564.1648 or emailed to info@hgroupbenefits.com
Individual Quote Requests:
Individual_Quote_Request.pdf (114 KB)
Group Quote Requests:
For Large Group Quote Requests or additional services, please contact our office and we will be more than happy to schedule a personalized consultation with you to obtain the information required for your company's healthcare needs.

Please check back shortly as you will soon have the opportunity to complete an online application for your Individual coverage through several carriers!


