Your Employee Benefits Scheme Quote Options of interest (please tick all that apply): Group Health Insurance Group Life Insurance Group Income Protection Group Dental Cover Workplace Pension Scheme Wellness Programmes Cycle to Work Employee Discounts Salary Sacrifice Scheme (ie Paid Leave) Number of Employees to be Covered: Company Name: Type of Company: Limited Partnership Sole Trader What’s your Postcode? Postcode Contact Name: Position in Company: What’s your email address? What’s the best telephone number? Most people only buy this type of insurance once or twice in a lifetime, and it makes sense to speak to a specialist adviser (based here in the UK) - they can match your personal requirements and your health profile with the best insurer. PLUS advisers offer better deals than you can get online!“Just One Call, One Adviser” When are you looking to get covered? ASAP Within 30 Days Just Looking Do you have an existing policy? No Yes What is the renewal date? (optional) - Day - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - Month - January February March April May June July August September October November December - Year - 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 * By clicking the button above, you agree that you have read and understood our Privacy Policy and agree for your information to be used to provide you with a quotation. Need help? Call on 0333 987 3960