REQUEST A QUOTE
As an ASA Northwest member, obtaining a Lifestyle group health proposal for your company has never been easier. Simply download the Lifestyle Census below and complete.
For preliminary rate quotes, please submit the census using the link below. For firm rate quotes, please include individual employee health questionnaires along with census for underwritten firm rates.
Once you download and fill out the above items, save the files to your computer and submit them via e-mail by clicking the Submit Quote Request below.