Group Health Insurance

This product or service is offered through COPIC Financial
Service Group, Ltd. and is available only to residents of Colorado.

To obtain a comprehensive group health insurance illustration, contact Andrea Levine at (720) 858-6287 or (800) 421-1834, ext. 6287.

Be sure to have the following information ready:

Name
Company/organization name
Address
City
State -- COPIC Financial can only provide this service to residents of Colorado
Zip
Email address
Phone number
Best method and time for contacting you
Industry or medical specialty
Number of employees
Current carrier
Length of time with current carrier
Approximate current monthly premium
What type is your current plan -- HMO or PPO?
- If HMO
  - Office copay
  - Inpatient copay
  - Rx copa
  - Other copay amounts
- If PPO
  - Deductible
  - Coinsurance in network
  - Coinsurance out of network
  - Stop loss amount
  - Point-of-service copays (if any)
Do you prefer an HMO or a PPO?
Are any specific physicians required?
What do you like and dislike about your current coverage?
What are the reasons for changing coverage?
Estimated start date of new coverage
Are there other COPIC products in place (e.g., malpractice insurance; disability insurance; etc.)