Create & Customize an ICHRA Quote

Get started with your ICHRA quote by providing your company and employee information

User Information

Company Email *

Role *

• Broker
• Broker
• Employer
• Program Advisor

Company Information

Company name *

Quote Year

• Current Year: 2026
• Next Year: 2027

Census File

Click to upload or drag and drop census

Census must be a CSV file

Download census template

How to Format Your Census

Customize Quote

Affordability

• Percentage Contribution
• Flat Contribution

ACA-compliant contributions use ICHRA contribution classes based on employee income and affordability thresholds.

What metal tier would you like to benchmark your contributions to?

• Silver Plan
• Bronze Plan
• Silver Plan
• Gold Plan
• Platinum Plan

Include Vitable Primary Care

Additional broker PEPM ($)

• $0
• $500

Fee Discount

• $

Current Group Health Information (Optional)

Enter your current health costs to see how much you can save with an ICHRA.

Current group health monthly cost ($)