Request a Proposal for Your Client

BASIC is very pleased to provide the proposals you need. Please use this form if you are requesting a  proposal for a third party.


Request A Proposal

The section below is to provide information on the Health Insurance Agent or HR Consultant that is requesting the proposal for their client.

Important: Due to the nature and timeliness of ACA, we’re now only accepting new clients for 2016 ACA Elevate- Late Filing Service and/or 2017 ACA Reporting

Do not delay, like last year, we will be closing our doors early due to the overwhelming demand in service! Secure your clients spot and signup now!


Client Information

The section below is to provide information about the company/organization in which the services proposed would be presented.


BASIC Services

Please select the service or services you would like proposed.


 Request a Proposal for Your Client