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Request a Quote
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 *

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