European Health Cash Plan Employee Group Quote

STEP ONE - ELIGIBILITY CHECK

* Indicates required field.

To benefit from the European Health Cash Plan please complete/confirm the following:

Total Number of Eligible Employees :
  *
Number of Eligible Employees that will be covered :
  * 80% of total eligible employees must be covered
Number of Eligible Employees that will NOT be covered :
  *
Nature of Business :
  *

*Please note that cover is not available to high risk occupations, including but not limited to Mining, Oil and Gas, Quarrying, Explosives and Atomic/Nuclear Energy related occupations. If in doubt please contact Status Medical Insurance Solutions.