THE ICHRA SHOP · NEW BUSINESS

New client. One easy handoff.

Tell us who you are, add the employer, and send your files. We’ll handle the next steps.

Who’s submitting?

I’m a broker I’m an employer

Your name Work email Brokerage / agency Phone (optional)

Your contact and role stay attached to this client’s request. Returning on this tab? We’ll fill in your registration.

Employer / company name Employer ZIP code Number of employees (optional)Coverage start date (optional)

Service preferences & request details (optional)

Service requestedReimbursement preferencePreferred ICHRA solutionProposal needed by

Anything we should know?

Upload the census, current plan, renewal, or rate information here. No separate email needed.

Choose files

Up to 6 files · 12 MB per file · 24 MB total. CSV, Excel, PDF or Word. Files are optional.

Files go to the ICHRA Shop team through private storage. Please leave out Social Security numbers, bank details, and medical records.