Ludwig Insurance
Request A Quote 847-991-5840

Group Insurance Quote

If you are a decision maker (business owner, human resources director, etc.) for your company and are looking for an insurance policy for you and your employees, simply fill out the form below and a representative from Ludwig Insurance will respond to you within one business day.  For immediate assistance, please call 847-991-5840.

Group Insurance Quote Form

What types of Group Health Insurance do you need?
  Medical/Healthcare
  Dental Insurance
  Disability
  Life Insurance
  Prescription Plans
  Vision Insurance
  Other Services Not Listed
What types of plans are you interested in?
  Discount Plans / GAP
  HMO
  POS
  PPO
  Need Advice
  Other Plan Not Listed
Is this a renewal of an existing insurance plan?
Yes
No
If this is a renewal, what is the renewal date?
Will your company be contributing to the premium?
Yes
No
Are the corporate headquarters located in your state?
Yes
No
What is your industry?
How many employees do you expect to enroll in the plan?
Describe Your Project
Please provide any additional information that will help our Group Health Insurance providers supply an accurate quote.

Contact Information

This information is required so we can follow up with you. If you provide inaccurate or incomplete information, you may not receive a quote. We will not sell your information to another 3rd party and Ludwig Insurance will not use it for solicitation. Please see our Privacy Statement for more details on our privacy policies.
You will not receive your quote if the email address is invalid.
We will only use your e-mail address in order to contact you.
You will not receive your quote if the phone number is invalid.
We will only use your phone number in order to contact you.
(eg. xxx-xxx-xxxx)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
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1134 N. Old Mill Rd. | Palatine, IL 60067 | (847) 991-5840
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