7341 Office Park Place #202,
Viera, FL 32940

The value proposition for individual, family & group insurance solutions.

 Business Solutions Form

Small Group Quote Request Form

Text value required
E-Mail address value required
Phone number value required

Current Carrier

Group size is determined by the Average Total Number of Employees (ATNE) of all controlled groups/commonly owned companies. If payroll for ALL companies totals 51 or more, then group needs to be quoted as large group. If payroll calculation below totals 51 or more, please contact our office.

Enter total number of EEs for all commonly owned businesses in prior calendar year (even if not insured together):
Checkbox mandatory
Borde & Associates is committed to ensuring that the collection and processing of your data, carried out from our site baapa.us, complies with the general data protection regulations (RGPD) and the Data Protection Act. To know and exercise your rights, including withdrawing your consent to the use of data collected by this form, please consult our privacy policy

Complete CENSUS with genders and DOBs for ALL enrolled members, including dependents. (Click To Census Form)

If any former employees/dependents are currently on COBRA/State Continuation then please include on census.