Health Insurance

Exclusive benefit for members of Chattanooga Technology Council
**1-833-303-2723**

We understand how difficult it can be for our members to recruit and retain talent. A quality health care plan for your employees is the foundation of your benefit offering. We have worked with National General to provide health plan options that can save you money while enhancing the benefits you extend to your employees.

To learn how this member exclusive voluntary benefit can enhance your company’s benefit package while improving your bottom line, please either call us at 1-833-303-2723 or complete the form below. Your information will only be used for the purpose of providing a group health plan quote.

Is your company a current member of Chattanooga Technology Council (ChaTech)?

Yes

No

Business Name

Contact Name

First Name

Last Name

Business Website

http://

Business Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Phone Number

(###)

###

####

Contact Email

Does your company have a current group health insurance plan in place?

If yes, please provide the name of your current health insurance company below.

Yes

No

Current monthly health insurance premium?

$

Please provide any details related to your current plan design

This should include current deductible, coinsurance, network information or any other details you would like to include

Desired effective date

MM

DD

YYYY

Once submitted, please email a complete company census to [email protected]. Company census should include the following for each employee: last name, first name, home zip code, date of birth, gender, spouse (yes/no), if yes, spouse date of birth & number of children enrolling. Please email us if you need a census template and we will be happy to provide one.

Please note: Chattanooga Technology Council (ChaTech) is not providing insurance, but has entered into a partnership with National General who has established a program comprised of health plan products to be made available to members of TECNA affiliated technology councils. ChaTech does not endorse any specific insurance product or profit from participation by our member companies. This is offered as a membership benefit to qualifying ChaTech member companies. Products are provided by licensed representatives with Nicholas Hill Group, Inc., National General or affiliated agents. Plans are subject to underwriting and include certain exclusions and limitations. Not all plans are available in all states. Please contact us to learn what plans are available in your area.