E.MAP Quick Quote On-Line Rate Request – Health Insurance

By completing the on-line E.MAP Quick Quote rate request form, we can provide your business with UPMC Health Plan quotes that feature the E.MAP preferred pricing.

For small businesses, we can, in most cases, provide you with a quote within 24 hours. Larger groups may take a few days longer. Groups with 100 or more employees may be required to submit additional information, such as claims experience.

Once we receive your completed request, a representative can then work with you to answer your questions, obtain any additional information required, and assist you in making your selections.

Of course, if you presently work with a broker or agent, we encourage you to seek their assistance in obtaining an E.MAP rate quote.

  • Current Medical Rates:

  • Census

    Please complete the following information. If you have more than 50 eligible employees, leave the census information blank. We will contact you for all necessary information.
  • Eligible Employee Name (optional)Date of BirthSex(M/F)Zip Code of ResidenceEmployee Only(Y/N)Parent/Child(Y/N)Parent/Children(Y/N)Employee + Spouse(Y/N)Family(Y/N) 
    Click the plus sign to add additional rows.
  • Authorization

    By submitting this census via email, I authorize the coalition to seek a rate quote on our behalf.