Enrollment

To be eligible to enroll in the Cultural Alliance health plans, a company must have at least two employees. The two employees can enroll in different health plans, one being in Keystone and the other in Personal Choice.

To request a quote for medical insurance, please fill out the Rate Request Form. After clicking on Submit, your request will automatically be sent to Gallagher Benefit Services, Inc.

Each new group interested in enrolling is required to complete ORIGINAL forms for the employer group as well as the individual employees to be covered. Please refer to the Requirements for Employers section for a complete listing of what is needed to enroll in a group medical plan. Please call Gallagher Benefit Services, Inc. to have the original forms mailed to you. Please make sure that all items are fully completed when returning your application. Gallagher Benefit Services, Inc. must receive all forms no later than 20 days prior to the effective date of the coverage. Otherwise, the group will be delayed for another month before coverage becomes effective.

Please mail all original materials to:

Gallagher Benefit Services, Inc.
ATTN: Christie Clemens

100 Matsonford Road
4 Radnor Corporate Center, Suite 510
Radnor, PA 19087

Each year at open enrollment, employees must be given the option of changing health plans, if more than one plan is offered.