Quality Health Coverage at Competitive Cost

Take the first step in giving your employees quality healthcare. We are eager to work with you to meet your company's health insurance needs. We have plans that can be tailored to your business, and we're continually adding new services and programs. Come see what we have to offer.

Let us prepare a Health Benefit Plans rate proposal quote for your business if:


• You have an active non-temporary State of Hawaii Department of Labor number
• You are a corporation or limited liability corporation with at least one employee on payroll

Quote Request

Download and complete the required forms below:
• Application for Rate Proposal
• Employer Application & Certification
• Employee Medical Questionnaire - groups with less than 10 employees must complete one for each eligible employee.
• Census Form - groups with 10 or more employees, please complete this form.

The forms and documents on this page require the free Adobe Acrobat Reader, version 7.0 or above. Please download it here