Getting a quote is easy. Simply complete the Employer Questionnaire and Employee Census forms and return to SystemsPlus™ Insurance Solutions to get the process started.
Step 1: Download required forms
Employer Questionnaire
Employee Census
Health Application*
*Health Applications are required for all groups with fewer than 50 employees enrolled in the health program.
Step 2: Complete and submit forms
All completed forms should be directed to Ben Krambeck by using one of the following methods.
Email:
bkrambeck@systemsplus.org
Fax:
319.366.4164
Mail:
SystemsPlus Insurance Solutions
C/O NSCA
Attn: Ben Krambeck
3950 River Ridge Drive NE
Cedar Rapids, IA 52402
If you have additional questions regarding the program, please contact Ben Krambeck at 515.681.7230 or 800.446.NSCA