Secure Health Insurance Application

This is the individual application for all full-time employees. To ensure Turner Insurance can negotiate the most accurate and affordable medical quotes for your company, it is critical that this form is filled out as thoroughly as possible.

Key Requirements:

• For Enrolling Employees: Please include your complete health history, including any current medical conditions and medications. This transparency allows us to get the best rates the first time around.
• For Employees Waiving Coverage: If you have other coverage and do not wish to join the company plan, please complete the top portion of page 1 (above the yellow line) to indicate your status.

Privacy Note:

All information provided is confidential and used strictly for insurance underwriting and quoting purposes.

Instructions:

Please complete all company fields and return the form to Turner Insurance via email or call to schedule a personal pickup.