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Need quoting assistance?
Contact USHL sales support at (844) 828-5968
SafeGuard Plans
Requesting Party
Name:
Company:
Telephone:
Are You An Agent?:
No
Yes
Email:
(For quote delivery.)
Quoting Information
Company Name:
SIC Code or Nature of Business:
Company Address:
Zip:
State
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Michigan
Ohio
Indiana
Illinois
Wisconsin
Plan:
Select Plan...
SafeGuard Pinnacle 500
SafeGuard Pinnacle 1000
SafeGuard Pinnacle 2000
SafeGuard Summit 500
SafeGuard Summit 1000
SafeGuard Summit 2000
SafeGuard Peak 500
SafeGuard Peak 1000
SafeGuard Peak 2000
SafeGuard Pinnacle HDHP 1500
SafeGuard Pinnacle HDHP 2600
SafeGuard Peak HDHP 1500
SafeGuard Peak HDHP 2600
Effective Date:
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File Location:
Last Name
First Name
Date Of Birth
Gender
Contract Type
Medical
*Dental
Zip Code
Your date format is invalid unless its mm/dd/yyyy
M
F
Contract Type
Single
Couple
Family
Single + Children
No
Yes
No
Yes
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*NOTE: USHL Dental is insured coverage. Requested dental quotes will be provided separate from SafeGuard quotes.
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