Monroe Chamber Benefits Association Banner

Make the most of your Chamber membership. The Monroe Chamber Benefits Association offers access to competitive coverage, cost-saving opportunities, and valuable resources for your business and employees. Explore your options today, there’s no obligation, just potential savings and added value.

Member Information

Are you a member of the Monroe chamber association?

YesNo

Click here to sign up

Participation in the benefits program requires an active membership with the Monroe chamber.

My Contact Information

Full Company Legal Name:

First Name:

Last Name:

Email:

Phone:

Company Insurance Information

Total number of full-time employees:

Do you currently offer health insurance to employees?

YES

Planning to offer for the first time

Current funding type (if known):

What is your biggest challenge with employee benefits right now?

What Happens Next

After we review your intake, the next step in receiving a quote will be completing an employee census.

A census template is provided here: DOWNLOAD CENSUS FORM

Once the census is received, we can prepare plan pricing.

If currently offering benefits – In addition to your employee census, please provide current plan details by uploading the following documents if available: SBCs/Benefit summaries, Benefit guide, Carrier renewal, Current carrier invoice(s), Claims data.

Submitting this form does not change your current broker or enroll you in any program. It simply allows us to share information and determine whether the association plan may be a fit.

Upload all requested documents below. Click "Add another response" to upload multiple documents.