# 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](https://partners.vitablehealth.com/resources/ichra-quoting-employee-upload-template.csv)

### 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 ($)