www.ease.com Open in urlscan Pro
165.22.174.129  Public Scan

Form analysis
2 forms found in the DOM

<form novalidate="novalidate" class="mktoForm mktoHasWidth mktoLayoutLeft" style="font-family: Helvetica, Arial, sans-serif; font-size: 13px; color: rgb(51, 51, 51); visibility: hidden; position: absolute; top: -500px; left: -1000px; width: 1600px;"
  __bizdiag="1856485064" __biza="WJ__"></form>

<form id="mktoForm_1125" novalidate="novalidate" class="mktoForm mktoHasWidth mktoLayoutLeft" style="font-family: Helvetica, Arial, sans-serif; font-size: 13px; color: rgb(51, 51, 51); width: 311px;" __bizdiag="-1996353085" __biza="WJ__">
  <style type="text/css">
    .mktoForm .mktoButtonWrap.mktoSimple .mktoButton {
      color: #fff;
      border: 1px solid #75ae4c;
      padding: 0.4em 1em;
      font-size: 1em;
      background-color: #99c47c;
      background-image: -webkit-gradient(linear, left top, left bottom, from(#99c47c), to(#75ae4c));
      background-image: -webkit-linear-gradient(top, #99c47c, #75ae4c);
      background-image: -moz-linear-gradient(top, #99c47c, #75ae4c);
      background-image: linear-gradient(to bottom, #99c47c, #75ae4c);
    }

    .mktoForm .mktoButtonWrap.mktoSimple .mktoButton:hover {
      border: 1px solid #447f19;
    }

    .mktoForm .mktoButtonWrap.mktoSimple .mktoButton:focus {
      outline: none;
      border: 1px solid #447f19;
    }

    .mktoForm .mktoButtonWrap.mktoSimple .mktoButton:active {
      background-color: #75ae4c;
      background-image: -webkit-gradient(linear, left top, left bottom, from(#75ae4c), to(#99c47c));
      background-image: -webkit-linear-gradient(top, #75ae4c, #99c47c);
      background-image: -moz-linear-gradient(top, #75ae4c, #99c47c);
      background-image: linear-gradient(to bottom, #75ae4c, #99c47c);
    }
  </style>
  <div class="mktoFormRow">
    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
      <div class="mktoOffset" style="width: 10px;"></div>
      <div class="mktoFieldWrap mktoRequiredField"><label for="Email" id="LblEmail" class="mktoLabel mktoHasWidth" style="width: 0px;">
          <div class="mktoAsterix">*</div>
        </label>
        <div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="Email" name="Email" placeholder="Email address" maxlength="255" aria-labelledby="LblEmail InstructEmail" type="email"
          class="mktoField mktoEmailField mktoHasWidth mktoRequired" aria-required="true" style="width: 310px;"><span id="InstructEmail" tabindex="-1" class="mktoInstruction"></span>
        <div class="mktoClear"></div>
      </div>
      <div class="mktoClear"></div>
    </div>
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow">
    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
      <div class="mktoOffset" style="width: 10px;"></div>
      <div class="mktoFieldWrap mktoRequiredField"><label for="FirstName" id="LblFirstName" class="mktoLabel mktoHasWidth" style="width: 0px;">
          <div class="mktoAsterix">*</div>
        </label>
        <div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="FirstName" name="FirstName" placeholder="First Name" maxlength="255" aria-labelledby="LblFirstName InstructFirstName" type="text"
          class="mktoField mktoTextField mktoHasWidth mktoRequired" aria-required="true" style="width: 310px;"><span id="InstructFirstName" tabindex="-1" class="mktoInstruction"></span>
        <div class="mktoClear"></div>
      </div>
      <div class="mktoClear"></div>
    </div>
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow">
    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
      <div class="mktoOffset" style="width: 10px;"></div>
      <div class="mktoFieldWrap mktoRequiredField"><label for="LastName" id="LblLastName" class="mktoLabel mktoHasWidth" style="width: 0px;">
          <div class="mktoAsterix">*</div>
        </label>
        <div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="LastName" name="LastName" placeholder="Last Name" maxlength="255" aria-labelledby="LblLastName InstructLastName" type="text"
          class="mktoField mktoTextField mktoHasWidth mktoRequired" aria-required="true" style="width: 310px;"><span id="InstructLastName" tabindex="-1" class="mktoInstruction"></span>
        <div class="mktoClear"></div>
      </div>
      <div class="mktoClear"></div>
    </div>
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow">
    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
      <div class="mktoOffset" style="width: 10px;"></div>
      <div class="mktoFieldWrap mktoRequiredField"><label for="Company" id="LblCompany" class="mktoLabel mktoHasWidth" style="width: 0px;">
          <div class="mktoAsterix">*</div>
        </label>
        <div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="Company" name="Company" placeholder="Company" maxlength="255" aria-labelledby="LblCompany InstructCompany" type="text"
          class="mktoField mktoTextField mktoHasWidth mktoRequired" aria-required="true" style="width: 310px;"><span id="InstructCompany" tabindex="-1" class="mktoInstruction"></span>
        <div class="mktoClear"></div>
      </div>
      <div class="mktoClear"></div>
    </div>
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow">
    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
      <div class="mktoOffset" style="width: 10px;"></div>
      <div class="mktoFieldWrap"><label for="TYPE__c" id="LblTYPE__c" class="mktoLabel mktoHasWidth" style="width: 0px;">
          <div class="mktoAsterix">*</div>
        </label>
        <div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><select id="TYPE__c" name="TYPE__c" aria-labelledby="LblTYPE__c InstructTYPE__c" class="mktoField mktoHasWidth" style="width: 310px;">
          <option value="">Select...</option>
          <option value="Association">Association</option>
          <option value="Broker">Broker</option>
          <option value="Carrier">Carrier</option>
          <option value="Employer">Employer</option>
          <option value="Employee">Employee</option>
          <option value="General Agent">General Agent</option>
          <option value="Other">Other</option>
          <option value="VB Enroller">VB Enroller</option>
          <option value="Marketplace Partner">Marketplace Partner</option>
          <option value="Third Party Admin">Third Party Admin</option>
        </select><span id="InstructTYPE__c" tabindex="-1" class="mktoInstruction"></span>
        <div class="mktoClear"></div>
      </div>
      <div class="mktoClear"></div>
    </div>
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow">
    <div class="mktoFieldDescriptor mktoFormCol" style="margin-bottom: 10px;">
      <div class="mktoOffset" style="width: 10px;"></div>
      <div class="mktoFieldWrap mktoRequiredField"><label for="Phone" id="LblPhone" class="mktoLabel mktoHasWidth" style="width: 0px;">
          <div class="mktoAsterix">*</div>
        </label>
        <div class="mktoGutter mktoHasWidth" style="width: 10px;"></div><input id="Phone" name="Phone" placeholder="Phone Number" maxlength="255" aria-labelledby="LblPhone InstructPhone" type="tel"
          class="mktoField mktoTelField mktoHasWidth mktoRequired" aria-required="true" style="width: 310px;"><span id="InstructPhone" tabindex="-1" class="mktoInstruction"></span>
        <div class="mktoClear"></div>
      </div>
      <div class="mktoClear"></div>
    </div>
    <div class="mktoClear"></div>
  </div>
  <div class="mktoFormRow"><input type="hidden" name="eventDateCode" class="mktoField mktoFieldDescriptor mktoFormCol" value="" style="margin-bottom: 10px;">
    <div class="mktoClear"></div>
  </div>
  <div class="mktoButtonRow"><span class="mktoButtonWrap mktoSimple" style="margin-left: 120px;"><button type="submit" class="mktoButton">Submit</button></span></div><input type="hidden" name="formid" class="mktoField mktoFieldDescriptor"
    value="1125"><input type="hidden" name="munchkinId" class="mktoField mktoFieldDescriptor" value="627-PLV-209">
</form>

Text Content

Skip to content


EASE


EASE



 * Solution
   
   * * * OVERVIEW
         
         A technology solution for all your groups
       
       * ENROLLMENT
         
         Bring SMB benefits management into the digital age
       
       * CUSTOMER SERVICE
         
         Support from people that know the benefits industry
     
     * * MARKETING TOOLS
         
         Tools & Resources to promote your solution online
       
       * EASECONNECT
         
         Carrier connections for your clients
       
       * SECURITY
         
         Your data privacy is our top priority
 * Employers
   
   * * * BENEFITS ADMINISTRATION
         
         Manage benefits with Ease
     
     * * HR FEATURES
         
         Bring your entire HR department online
 * Partnerships
   
   * * * COLLABORATE WITH PARTNERS
         
         Collaborate with GAs, carriers, enrollers and TPAs
     
     * * MARKETPLACE
         
         Explore our partners to make Ease even more powerful
 * Pricing
 * Resources
   
   * * * BLOG
         
         Tune into the latest from Ease and the industry
       
       * FAQ
         
         Discover answers to your most common questions
     
     * * EVENTS
         
         Mark your calendar and connect with us
 * Sign In

Demo for Agencies


OFFER YOUR CLIENTS BETTER SERVICE WITH EASE.

Ease enables health insurance brokers to move enrollment
online for businesses from 2-250 employees.
Demo for Agencies




EMPOWER YOUR CLIENTS WITH DIGITAL
SOLUTIONS TO WEATHER ANY STORM.


GROW

Win new business and expand your clients with technology.


PROTECT

Deepen your client relationships with a modernized benefits experience.


DIGITIZE

One location for all your agency and client information.


SIMPLE SETUP AND ENROLLMENT



Ease has digitally mapped 6,000 enrollment forms, making your transition online
for all your clients a breeze.

Learn more >



“Ease has allowed our agency to go entirely paperless and is a win for all of
the employers we work with.”

Laura Drake, OneDigital





TRAINING AND SUPPORT



Simple software means you shouldn’t have too many questions. But if you do,
we’re here for you.

Learn More >



“My partnerships with companies like Ease are crucial to my success and I
appreciate that you are there with me for every step of this journey.”

Anne Marie Foley, Sutro Insurance Solutions


COLLABORATE WITH PARTNERS



Ease works with your existing partners. Ask them about help with setup,
management, and submission.

Learn more >



“One of the biggest reasons we use Ease is it’s simple for our General Agent
partner to help us bring technology to our clients.”

Jason Pastrano, Brio Benefits Group


MARKETING TOOLS



Materials, education, and campaigns to help you share Ease with current and
future clients.

Learn more >



“I’m not very skilled at creating my own marketing collateral. Thankfully, Ease
has made the process of reaching out to all my current and prospective clients
very easy.”

Willie Pinkston, Podium Benefits




SAFE AND SECURE



We understand that the 75,000+ businesses that use Ease place a high level of
trust in us. Ease makes security and the privacy of customer data a top
priority.

Learn more >


EASECONNECT



Submit directly to your favorite carriers with EaseConnect.

Learn more >



“Ease’s carrier connection with Principal has eliminated the need for us to
process individual enrollments, freeing up more time for prospecting and
eliminating hand-entry errors.”

Willie Pinkston, Podium Benefits


ARE YOU AN EMPLOYER?

Ease is benefits administration software for you and your employees, offered for
free by your health insurance broker.
Learn More


SEE WHAT YOUR BUSINESS COULD LOOK LIKE ONLINE.

Demo for Agencies


SOLUTION

 * Overview
 * Enrollment
 * Customer Service
 * Marketing Tools
 * EaseConnect
 * Security
 * Pricing

Menu
 * Overview
 * Enrollment
 * Customer Service
 * Marketing Tools
 * EaseConnect
 * Security
 * Pricing

EMPLOYERS

 * Benefits Administration
 * HR Features
 * Employee Experience

Menu
 * Benefits Administration
 * HR Features
 * Employee Experience

PARTNERSHIPS

 * Collaborate with Partners
 * Marketplace

Menu
 * Collaborate with Partners
 * Marketplace

RESOURCES

 * Blog
 * Events
 * FAQ

Menu
 * Blog
 * Events
 * FAQ

COMPANY

 * About Us
 * Careers

Menu
 * About Us
 * Careers

500 Treat Ave, Suite 200
San Francisco, CA 94110
–
Sales: requestinfo@ease.com
Support: 1-702-800-2690
support@ease.com

Twitter Facebook Linkedin
© 2021 ease
 * Privacy Policy
 * Ease Terms of Service

Menu
 * Privacy Policy
 * Ease Terms of Service





YOU'RE THE EXPERT ON BENEFITS. WE MAKE IT EASIER FOR YOU TO MANAGE THEM.

Fill out the form to discover more.
*




*




*




*




*

Select...AssociationBrokerCarrierEmployerEmployeeGeneral AgentOtherVB
EnrollerMarketplace PartnerThird Party Admin



*





Submit