In order to better serve you and receive a free health insurance quote, please fill out and send us the attached two forms.  This information will allow us to provide you with a detailed proposal of benefit options for your company.  

Please be assured, any information collected by CBP will be used solely for the purpose of providing you with a quote; all private information will be protected.

• Risk Questionnaire (.doc)
• Census Form (.xls)

For companies of 1-4 employees, this type of documentation is typically required to sign up for a group plan.