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Welcome to the Physicians Care Health Plans' online quote request form! This form is quick and easy to complete. Simply enter the requested information in the boxes, noting the required fields marked with an asterisk, and click the red CONTINUE button at the bottom of each page. When you have completed each section, Physicians Care will generate a quote and return it to you.
Before You Begin
You will be required to enter Census data for your company in order to complete
the RFQ, as well as Large Claims data if applicable. You may either enter the
information into our web form, or you may download an Excel file and enter the
information there. If you would like to enter your census information and/or
large claims into the Excel file, then you may download our Census Data template or the Large Claims Data template. If you are requesting a Self-Funded
Quote, we also require that you upload or enter any large claims data and your
Are you an employer or an agent?