REQUEST A QUOTE
Getting a Lifestyle group health proposal for your agency has never been easier. Simply download the Lifestyle / UFAA Census below and complete. Include your UFAA Member # to ensure UFAA affiliation to access our pre-negotiated pricing.
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.