Integrated OCONUS Risk Assessment

We take a holistic consulting approach to help businesses improve the efficiency of policy management, loss control, and insurance spend through one Advocacy team.

Businesses leave significant value on the table when placing Corporate Health and Risk policies through multiple brokers - our approach on the other hand maximizes both value and convenience.

Contact Information

First name*

Last name*

Email*

Phone number*

Company name*

Job title*

What best describes you?*

Corporate Health & Benefits

Annual Payroll (estimated)

Current Corporate Health Broker

Where are benefits-eligible employees located?

Corporate Risk

Annual Revenue

Past Trend - Last 5 Years of Revenue:

Scope of Services - Current Scope of Operations:

Scope of Services - Any Future Changes to the Current Scope?

Projected Growth - Estimated Sales in 3-5 Years

Projected Growth - Do you plan on raising Capital?

Projected Growth - Do you plan on expanding territories?

List any incoming Government Contracts (if applicable)

Do you currently have any open claims?

Current Corporate Risk Broker

Need to secure coverage by:

Month/Day/Year

Please describe OCONUS locations and operations: