MKW Insurance Group · Enrollment

Choose how you’d like to enroll

Continue to the carrier for medical coverage, or ask an MKW advisor to help with dental and vision.

Medical coverage

Compare your plan options

Review benefits and monthly prices by household size. When you’re ready, continue to the carrier to start that plan’s application.

MKW

Medical plan

HSA 6000

Cigna PPO · HSA-eligible

Benefits at a glance

Deductible: $5,000 individual / $10,000 family
Coinsurance: 90/10
Out-of-pocket maximum: $8,700 individual / $17,400 family
Preventive care / telemedicine: $0 / $0
Primary care / specialist: $30 / $50
Urgent care / labs and X-ray: $50 / $50
Diagnostic imaging, ER, surgery, hospital, maternity: 10% after deductible
Prescriptions: $0 generic / $35 brand / $75 non-preferred brand
Specialty prescriptions: PBM management required

Monthly price by coverage tier

Choose the row that matches your household.

HSA 6000 monthly prices by coverage tier
Coverage tier	Full	Your price
Employee only (EE)	$674.00	$174.00
Employee + spouse (ES)	$1,067.00	$567.00
Employee + children (EC)	$945.00	$445.00
Family (FAM)	$1,340.00	$840.00

Prices are monthly. Your final premium and coverage are confirmed by the carrier.

Plan details and prices are for comparison. Confirm the plan and monthly price in the carrier cart before submitting your application.

Continue with HSA 6000

MKW

Medical plan

Silver

Cigna PPO

Benefits at a glance

Deductible: $5,000 individual / $10,000 family
Coinsurance: 70/30
Out-of-pocket maximum: $8,700 individual / $17,400 family
Preventive care / telemedicine: $0 / $0
Primary care / specialist: $40 / $60
Urgent care / labs and X-ray: $60 / $60
Diagnostic imaging, ER, surgery, hospital, maternity: 30% after deductible
Prescriptions: $0 generic / $35 brand / $75 non-preferred brand
Specialty prescriptions: PBM management required

Monthly price by coverage tier

Choose the row that matches your household.

Silver monthly prices by coverage tier
Coverage tier	Full	Your price
Employee only (EE)	$674.00	$174.00
Employee + spouse (ES)	$1,067.00	$567.00
Employee + children (EC)	$945.00	$445.00
Family (FAM)	$1,413.00	$913.00

Prices are monthly. Your final premium and coverage are confirmed by the carrier.

Plan details and prices are for comparison. Confirm the plan and monthly price in the carrier cart before submitting your application.

Continue with Silver

MKW

Medical plan

Gold

Cigna PPO

Benefits at a glance

Deductible: $3,000 individual / $6,000 family
Coinsurance: 80/20
Out-of-pocket maximum: $8,700 individual / $17,400 family
Preventive care / telemedicine: $0 / $0
Primary care / specialist: $35 / $55
Urgent care / labs and X-ray: $55 / $55
Diagnostic imaging, ER, surgery, hospital, maternity: 20% after deductible
Prescriptions: $0 generic / $35 brand / $75 non-preferred brand
Specialty prescriptions: PBM management required

Monthly price by coverage tier

Choose the row that matches your household.

Gold monthly prices by coverage tier
Coverage tier	Full	Your price
Employee only (EE)	$941.00	$441.00
Employee + spouse (ES)	$1,493.00	$993.00
Employee + children (EC)	$1,309.00	$809.00
Family (FAM)	$1,981.00	$1,481.00

Prices are monthly. Your final premium and coverage are confirmed by the carrier.

Plan details and prices are for comparison. Confirm the plan and monthly price in the carrier cart before submitting your application.

Continue with Gold

MKW

Medical plan

Platinum

Cigna PPO

Benefits at a glance

Deductible: $500 individual / $1,000 family
Coinsurance: 90/10
Out-of-pocket maximum: $8,700 individual / $17,400 family
Preventive care / telemedicine: $0 / $0
Primary care / specialist: $30 / $50
Urgent care / labs and X-ray: $50 / $50
Diagnostic imaging, ER, surgery, hospital, maternity: 10% after deductible
Prescriptions: $0 generic / $35 brand / $75 non-preferred brand
Specialty prescriptions: PBM management required

Monthly price by coverage tier

Choose the row that matches your household.

Platinum monthly prices by coverage tier
Coverage tier	Full	Your price
Employee only (EE)	$1,003.00	$503.00
Employee + spouse (ES)	$1,632.00	$1,132.00
Employee + children (EC)	$1,563.00	$1,063.00
Family (FAM)	$2,993.00	$2,493.00

Prices are monthly. Your final premium and coverage are confirmed by the carrier.

Plan details and prices are for comparison. Confirm the plan and monthly price in the carrier cart before submitting your application.

Continue with Platinum

Personal help from MKW

Dental & vision coverage

Choose dental, vision, or both, then add the spouse and children who need coverage. Kendy will review your request and follow up.

The secure enrollment form is available only after its server-side encryption and anti-bot checks are configured. Medical applications continue through the carrier links above.

Secure enrollment is not enabled yet. This form will not submit personal information until Supabase, server-side encryption, and the security check are configured.

Agreement form

Privacy notice & consent

Before you start, review how MKW Insurance Group handles the information you enter into this form.

What this site does

This site guides your benefits choices and links to the medical carrier portal. If you request dental or vision coverage here, this site collects applicant and covered household details, including names, dates of birth, Social Security numbers, and addresses, for your agent to review.

What we record

We save your contact details, consent, elections, and electronic signature. Social Security numbers, dates of birth, and supplemental household details are encrypted before database storage and made available only to an authorized agent. The CRM list contains contact details, elections, and progress status—not Social Security numbers, dates of birth, or household details. This form does not save unfinished drafts.

Your elections

Select dental, vision, or both. Your household tier is based on whether you include a spouse and/or children. This form requests follow-up; it does not itself issue or confirm coverage. Medical enrollment takes place on the carrier site. You may leave the additional benefits form if you do not want these options.

Your PDF summary

After submitting, you can print or save a summary intended for you and your Agent of Record, Kendy Wheeler (kendy@benefitsforyoullc.com · 812-584-5051). The summary excludes Social Security numbers and dates of birth. You choose whether and with whom to share it.

Your rights

You can stop at any time. To request deletion of a submitted record, contact the Agent of Record.

Security reminder

Use a private device. This site and the carrier portals may collect sensitive information. Do not put Social Security numbers or medical details in chat, email, or callback notes.

I have read and understand the privacy notice above. I consent to this site collecting and storing my enrollment information as described above and making my submitted supplemental information available to my Agent of Record. *I am 18 or older, or I am a legal guardian completing enrollment on behalf of a dependent. *

Consent version 2026-10-20. Consent is recorded only when you submit the completed form.