For a detailed quote, please email Robert Baker with the additional information below after filling out the above form:

  • Employees’ Date of Birth & Gender
  • Spousal and Dependent Data (if electing additional coverage)
  • Specific Plan Designs Requested


  • If the group has less than 200 employees enrolled – please do not send experience.
  • If the group has 200 or more employees enrolled – please send 2-3 years of experience.

Questions? Contact WMC Insurance at 608-258-3400.