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Eastwest Healthcare Request for Quotation Form

Instructions and Objectives:

This Request for Quotation form is designed to collect comprehensive and accurate information needed by our underwriting team to precisely determine the appropriate membership fees tailored to your company's specific requirements. By thoroughly and accurately providing the requested information, you help ensure that the proposed healthcare coverage will optimally align with the needs and preferences of your employees and dependents. Complete and clear submissions significantly streamline the underwriting process, enabling our team to deliver a timely and competitive quotation.

To facilitate a smooth quotation process, please carefully adhere to the following guidelines:

> Complete all mandatory fields indicated with an asterisk (*).

> Provide detailed and accurate responses to all applicable questions to minimize follow-up inquiries.

> Ensure uploaded documents are clearly readable and in one of the accepted formats (PDF, Excel, CSV).

> Clearly specify any additional requests or special considerations in the spaces provided.

> If you encounter difficulties or uncertainties in completing this form, please do not hesitate to contact our support team directly. Our representatives are available and committed to assisting you promptly and effectively.

We greatly appreciate your cooperation and thoroughness in completing this form. Thank you for choosing Eastwest Healthcare. We are eager to partner with your organization to secure a healthier horizon for your employees and their families.