Join hundreds of satisfied employers who participate in Western Grocers Trust Over our 40 years of service, 95% of our members choose to renew the Trust’s programs. Request a Quote "*" indicates required fields Employer Information for QuoteBusiness Name* Contact Name* Email* Phone*Business Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code ParticipationTell us about the employees you wish to insureRequirements for participation in the Plan include: - 75% of eligible employees must participate - Eligible employees must work a minimum of 20 hours per week - At least 2 employees (who are not spouses) must participate Number of Employees who are Eligible for health coverage?*Email or Fax us a completed Census Form. Would you like more information on any of these additional enhancements? Dental Coverage 125 Plan (Flexible Benefits) Health Reimbursement Accounts Life Insurance & Short Term Disability Check here if you are a member of the WFIA: Yes CAPTCHAOnce we receive your request, a proposal will be prepared that provides rates for your group for all our benefit plans as seen on the Benefits Summary.