We understand how difficult it can be for technology companies 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 more about how this 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.

My company is a member of

Please select the TECNA Member Council that your company is a member of. If you are not a current member of a TECNA Council, please select other or none.

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

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

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: TECNA is not providing insurance, but has entered into an endorsement agreement with national general who has established a program comprised of health plan products to be made available to members of TECNA affiliated technology councils. 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.