COBRA Outsourcing Solution

COBRA Outsourcing Solution
To obtain a quote for services using our web-based proposal system, please complete as much data as possible and press the Submit button at the bottom of the form below. You will receive a timely quote along with additional information about our services provided.

If you want to go directly to the CMS website without requesting additional information or a proposal, just click here.

You can always contact COBRA Management at 206-729-1571 or email Sales requests to sales@cobramanagement.com

COBRA Management Services Outsourcing Proposal Request:

Client Information
First Name
Last Name
Title
Company Name
Address
City
State
Zip
Phone Number
Email Address

Broker Information	Check here if Broker data is the same as Client data
First Name
Last Name
Title
Company Name
Address
City
State
Zip
Phone Number
Email Address

Plan Information
New Plan?
Existing Plan moving from another administrator?
Number of Benefit Eligible Employees
Annual Turnover Rate
Anticipated Effective Date
Number currently on COBRA
Number of COBRA Plans

If you have any questions, you can contact CMS at 206-729-1571 or email Sales requests to sales@cobramanagement.com