Find Out How Much You Could Save with an ICHRA!

Get a quick estimate from Peak with just a few clicks.

It’s easy: Simply let us know a little bit about your business and upload your census (the age of all employees, tobacco use, and anyone on their plan). Don’t have a census? Just use our form to enter your team’s information.

We’ll get back to you with some numbers you can use to compare your options.

Questions? Let us know here.

Step 1 of 3

Your Business Name*
Your Business' County*
Name*
First Last
Email*
Phone*
Preferred Contact?
Optional Broker Information
If you have a broker, let us know and we can share your information with them if you'd like. This is optional.
- I have a broker
- I don't have one but am interested in working with one
- Just the estimate for now, please!

Employee Information/Census
For the most accurate estimate, please provide your employees age(s), tobacco use (yes/no), and if you know who else might be on their plans (dependent/spouse age). If you have a census ready to upload, you can upload it to us below!
Do You Have an Employee Census*
If you already have a census form for your staff, save time by uploading it here. If not, just click no and you can enter information.
- Yes
- No
Optional: Upload Your Census
If you have an employee census from your HR or benefits team, please upload it here in CSV format. NOTE: Do not include any private information such as employee full names. Age, tobacco use for employee and any spouse/dependent.
Accepted file types: csv, xlsx, Max. file size: 500 MB.

Ages of Employees and Dependents/Family on Plan*

Age	Tobacco Use (Y/N)	Coverage Type (Employee Only, Empl. + Dependent, or Empl. + Family)

The Fine Print!
This information will be used to create a preliminary estimate for comparison purposes only. Your broker or your chosen platform (if you build your own ICHRA) will determine final costs. Peak is not a broker or an insurance carrier.
Comments
This field is for validation purposes and should be left unchanged.

*Peak will provide you with full price premiums. Contribution amounts to be made through an ICHRA will be determined by the employer. Note Peak is a purchasing alliance and is not authorized to sell plans. The figures provided are publicly available rates.

Find Out How Much You Could Save with an ICHRA!

Get a quick estimate from Peak with just a few clicks.

Step 1 of 3

Employee Information/Census

The Fine Print!