HSA Insurance - Employer Group Quote Form

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Tufts Health Direct has partnered with HSAInsurance.com, the largest private, multi-carrier insurance marketplace in New England, to offer Health New England insurance plans to individuals and families in Massachusetts.

If you have any questions, you can start a chat session with an HSA Insurance team member, or call us at (781) 848-4950.

Sole Proprietors and Small Businesses

Download Template | Upload Census

Let's begin!

First we need the basic information about your company, employees and their families...
If you prefer, you can download our Excel template, fill it out with your company census and upload it at your convenience.

Company Name*

SIC Code*

SIC Code List

Zip Code*

Sole Proprietors:
Answer “Yes” if the only employees are the owner and/or the spouse of the owner.
Answer “No” if you regularly employ at least one individual that is not the owner and/or the spouse of the owner.

Thank you for your interest. Based upon the information you provided, you must enroll in Individual and Family plans.
You are not eligible for “Small Business” plans.

Effective Date*

Email Address*

# of Employees

Employees (0)

First Name

Last Name

Birthdate*

Medical, Dental or Both

Smoker?

Yes No

Zip Code*

Save

ADD EMPLOYEE

* required field

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