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  Serving the Bay Area  
   

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Liability

E&O - D&O
EPLI

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Comp

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Health

Technology Firms
& Start-Ups

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Coverages
 

Small Group Health Plans (2-50 members)

We can help you assess your company's medical coverage needs, as well as discuss various copayment options that some or all of your members can subscribe to.

P&A Insurance has relations with all of the major health plan providers.  Among some of the best and most competitive are:

      •  HealthNet
      •  Blue Cross
      •  Kaiser 
      •  Pacificare
      •  Aetna
      •  Blue Shield



Short on time? We'll call YOU! Just fill in your name and phone number (bolded area) and click on submit at the bottom.

Group Name:  
Group Contact:  
Group Address:  
City, State & Zip:  
E-Mail Address:  
Telephone:  
Fax:  
Current Health Carrier:  
Carrier Contact:  
# of employess:  
Effective Date:  
How long in business:  
Cobra Employees:  
Worker's Compensation?:   Employees in waiting period:  

Census
Name , Age
Dependent Status
Zip Code
Waiving

Add any additional comments or information that may assist us in your quote below:

Note: By submitting this form you understand that no coverage is bound until you receive written notice. You also agree to release us from any liability if this information is accidentally viewed by unauthorized persons. We will only use this information for insurance quoting purposes and not distribute to other parties.
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Reaching us is easy! Toll-Free: (888) 822-0688 | Office: (408) 872-1322 | Fax: (408) 647-2193 | Email Us
P.O. Box 1509 Los Altos, CA 94023 | CA Lic #: 0F19745