The Hartford


To inquire about The Hartford, please contact our staff.

Benefits they can offer (10+):

All of these will need to be quoted by The Hartford. Please contact our staff for additional information.

Quote Request Forms:

For quote and rate information for The Hartford please contact our staff. Please note it can take 7 to 10 business days to receive quotes back.

Group Ancillary Quote Request Form


Census Template for Basic Coverages

New Business Submission forms:

Employer Forms-

Please request. Paperwork is sent on a case by case basis.


AOR (Agent of Record) Letter:

Below is a generic AOR to complete on letter head and fill in the parenthesis (i.e. [COMPANY NAME]= ABC Company). If you have any questions, please contact our staff. Please submit the completed AOR to for processing.


The forms posted on this page are for 2017. If you are interested in any forms for previous years or any pre-ACA plan forms please contact our staff.



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