DROP THE GROUP

Defined Contribution: Drop Group Employer Coverage and Switch to Individual Health Insurance

Serviced by:

State *

Email: *

Currently offer health benefits? *

Yes

Name: *

REQUEST A CONSULTATION

How many current employees? *

Phone *

When would you like to get started? *

If the above answer is "Yes", enter current insurance carrier

How many current dependents (if applicable)?

Company Name *

City *

Request a Defined
Contribution Consultation

Here’s what will happen when you submit this request form:

A Design Health representative will contact you to confirm a date and time for an appointment with you or perhaps request additional information. .
A calendar invitation will be sent to you with call details.
The Design Health representative will be on time for the call and will assist you with any questions or concerns you may have about Defined Contribution.

* Required Field

What questions or concerns would you like to address regarding defined contribution?