Account Information

States where your employees live * 🛈
Are you working with a broker? *


HR Representative Signature *
(By signing this form I acknowledge that I am authorized to offer Figo to our employees as a voluntary benefit with open enrollment.)

All information submitted in this form will be securely transfered to Figo Pet Insurance.

Any questions or concerns feel free to call Figo at (844) 738-3446.

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