Free Health Insurance Quote
2 Easy Ways to Get your Free Quote - Se habla Español
1. Call Us at: (305) 380-7968
2. Fill Out this Form (Get your Free Insurance Quote within 2 business hours)
County of Residence:*
Plan of Interest:
Miami-Dade Broward
Major Flex
Name: Applicant Age:*
Gender:* M F

Phone:

 Spouse Age:
Gender: M F
Phone (2nd):
 Dependent 1 Age:
Gender: M F
Email:* Dependent 2 Age:
Gender: M F
Email (2nd): Dependent 3 Age:
Gender: M F
Comments: Notes:

For children older than 3 months and less than 1 year, use 0 as their age. Insurance Coverage is not provided for children under 3 months of age, unless one of the parents is a current member with PMP at the time of birth.
Your information will be sent directly to a Preferred Medical Plan Agent
* required fields

Important: We never sell or share your information with anyone.

Remember: Prices are fixed by State Law. You can't get a better price for the same product anywhere else.