Company Quote GO BACK Our healthcare solution is not available in IL, NY, VT, or WA. All quotes include Akos MD Virtual Primary Care & Sedera Health memberships Agency Name Agent Name Company Name Contact First Name Contact Last Name Email Address Phone State StateNorth CarolinaSouth CarolinaAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth DakotaTennesseeTexasUtahVirginiaWest VirginiaWisconsinWyoming Employees (Full or Part Time) Employees (Full or Part Time) 2-5 6-10 11-20 21-50 Eligibility Type Eligibility Type Employee (Member Only) Employee & Spouse Employee & Child(ren) Employee & Family Use the space below to enter your company census. Using the format of NAME, BIRTH DATE (mm/dd/yyyy), Eligibility Type and a Y or N if the employee is a SMOKER. Use the space below to enter your company census. Using the format of NAME, BIRTH DATE (mm/dd/yyyy), Eligibility Type and a Y or N if the employee is a SMOKER. Add Company Census I have watched the informational videos on the previous page. 3 + 1 = Submit Request
