Request a Quotation

Kindly accomplish this form

Company Name:

Company Address:

Estimated number of Principals:

Estimated number of Dependents:

Name:

Email Address:

Contact Number:

Message:

NOTES

A corporate account requires a minimum of 20 enrollees. Groups with fewer than 20 members can enjoy coverage through ValuCare's Individual, Family, or Group Plans.

PRINCIPAL MEMBER
From 18 years to below 60 years old

DEPENDENTS
For MARRIED Employees
1st Priority - Legal Spouse from 18 years to 60 years old;
2nd Priority - Eldest to youngest child 90 days to not over 21 years old; single and unemployed.

For SINGLE Employees
1st Priority - Father up to below 60 years old;
2nd Priority - Mother up to below 60 years old;
3rd Priority - Brothers/Sisters 90 days to not over 21 years old; single and unemployed.