Get Proposal from MedLion Clinic
Estimated time: 5 minutes. Complete this form to receive a proposal + savings estimate.
Email address *
Contact name *
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Employer/Group Name: *
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Expected Rollout Date *
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Insurance Type *
# of Individual contracts *
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# of Individual + Spouse contracts *
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# of Individual + Child(ren) contracts *
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# of Family contracts *
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% of contracts in PPO/HMO plans *
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% of contracts in HDHP plans *
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PCP Co-pay (avg) *
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Total # of eligible FTEs *
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# of FTEs enrolled in medical plan *
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Total # of PTEs/contractors (if applicable)
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States with employees (list all) *
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Broker/Consultant Name & Email (if any)
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