Generic Fillable Form for Quoting Health?

[halis]

Does anybody have a fillable form that will ask all the right questions to quote through different carriers?

 

[halis]

Wow, the simplest question imaginable and no response?

 

[TXINSURANCE]

Does not exist. What are you trying to do?

 

[djs]

I have it on my quotit web site.
Again, it depends on what you are trying to do.

Dan

 

[somarco]

Can you put a form on your website that will ask all the questions a health carrier wants?

Yes.

Can you make it such that it will populate a carrier app?

No.

 

[halis]

Okay, I guess what I want isn't clear. I just want a questionnaire that will get the info I need for a quote and it will ask questions about health history, prescriptions, that will flag ahead of time any rate-ups etc.

Instead of printing this form out, I want to type it in and save it. Just a client info sheet that's all.

 

[souldeux]

Something like this?

Free Quote | Georgia Insurance Options

When a client fills that out, it generates an email and sends it to me with all of their information. If you go there and fill one out, I'll send the email I get back to you so that you can see what I see.

Is this what you're looking for?

 

[arnguy]

Look at ehealthinsurance or similar sites that have the applicant fill out their information on line.