Group Health Insurance North Carolina

This Group Health Insurance Census Form may be used for groups of 25 or fewer employees. For groups larger than 25 employees, complete the 26+ Census Form and fax to 919-287-2777.

To provide the fastest possible service we will send your Quote via Email. In order to deliver the most competitive pricing, we may need to contact you via telephone. Only one of our representatives will call to verify your quote or get any additional information needed.