For more information on how we can help you with your health care needs, simply complete and submit the form below:

Fields marked with an * are required.

I'm interested in:


Number of Employees*
Enter "1" if interested in coverage for yourself and/or your family.

Number of Employees currently covered by insurance

First Name*

Last Name*

Company Name*

Company Address*




Phone* (xxx-xxx-xxxx)


Do you currently work with a Broker?
If yes, what's the Broker's name?
And the Agency's name?

The Wisconsin Restaurant Association (WRA) and UnitedHealthcare offer special health care pricing and solutions for WRA members.

Here are some key features of our alliance program:
  • Exclusive discounts on standard group medical plans and
    specialty benefits
  • Restaurant & Hospitality Association Benefit Trust option
    for small employers in the hospitality industry
  • Wellness programs and services designed to help improve
    employee health, productivity and retention

Some restrictions may apply.