Create Your Own Plan

We've created a revolutionary insurance solution, and it's all about you.

Companies are unique.
Employees are unique.
Your health plan should be too.

Answer the following questions to create the ideal health plan and request a quote.

On a scale from 1 to 5, how important are the following items? (1=not important; 5 = extremely important)
	1	2	3	4	5
Total health insurance cost	Total health insurance cost1	Total health insurance cost2	Total health insurance cost3	Total health insurance cost4	Total health insurance cost5
Practicing preventive health to avoid major claims	Practicing preventive health to avoid major claims1	Practicing preventive health to avoid major claims2	Practicing preventive health to avoid major claims3	Practicing preventive health to avoid major claims4	Practicing preventive health to avoid major claims5
The overall health of your employees	The overall health of your employees1	The overall health of your employees2	The overall health of your employees3	The overall health of your employees4	The overall health of your employees5
Motivating healthy lifestyles with cost-effective incentives	Motivating healthy lifestyles with cost-effective incentives1	Motivating healthy lifestyles with cost-effective incentives2	Motivating healthy lifestyles with cost-effective incentives3	Motivating healthy lifestyles with cost-effective incentives4	Motivating healthy lifestyles with cost-effective incentives5
Future health insurance cost increases	Future health insurance cost increases1	Future health insurance cost increases2	Future health insurance cost increases3	Future health insurance cost increases4	Future health insurance cost increases5
Maintaining a low deductible	Maintaining a low deductible1	Maintaining a low deductible2	Maintaining a low deductible3	Maintaining a low deductible4	Maintaining a low deductible5

Please answer the following questions: (1=not important; 3 = extremely important)
	1	2	3
Next year's renewal cost	Next year's renewal cost1	Next year's renewal cost2	Next year's renewal cost3
Total insurance cost for the next 3 years	Total insurance cost for the next 3 years1	Total insurance cost for the next 3 years2	Total insurance cost for the next 3 years3
Giving all employees the best insurance possible	Giving all employees the best insurance possible1	Giving all employees the best insurance possible2	Giving all employees the best insurance possible3
Providing additional coverage and tax benefits to leaders/executives	Providing additional coverage and tax benefits to leaders/executives1	Providing additional coverage and tax benefits to leaders/executives2	Providing additional coverage and tax benefits to leaders/executives3

Contact Information

Based on your answers above, we can send you immediate results with advice to accomplish your goals. If you would like us to contact you with a detailed quote then please let us know below.
Name Name First Last
Company
Number of insured employees
Must be a number greater than or equal to 20.
The minimum required number to quote IncentiCare is 20 insured employees.
Select your home office state
Phone Phone - ### - ### ####
Email

This field is required to receive immediate results based on your answers.
Please check those the boxes that apply.

Please check those the boxes that apply. Send me the results based on the questions above. Please contact me with more detailed information. I am interested in a solution for next year.
Additional Comments