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Worksheet for Groups of 2 to 25 employees.
Groups of 26 or more, please send your group's census & information to:
quotes@mclaren.org
Phone: (888) 327-0671, Fax: (810) 733-9596
or by mail:
McLaren Health Plan
G-3245 Beecher Rd
Suite 200
Flint, MI 48532
Before beginning, please gather the following information:
Employee information including age and dependent information
A start date for your MHP coverage
MHP will be in contact with you with a few days of receiving your completed worksheet.
Your proposal will include:
6 standard health insurance plan designs and Dental and Vision options.
*Indicates required information
Please complete the following information, required fields are marked with an asterisk*:
Contact Person
*
Email Address
*
Company Name
*
Address
*
City
*
Zip Code
*
Telephone
*
Effective Date of Plan
*
Agent
Agents Phone
Comments
EMPLOYEE CENSUS
Employees
Count
Employee Age
Spouse Age
Spouse Covered (Y or N)
Number of Children ages 0-26
Employee Age 65+ (A)ctive or (R)etired
*
*
Authentication
*
FOR EMPLOYEES:
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as defined by quality outcomes and cost.
©All rights reserved. McLaren Health Care and/or its related entity.
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