Surprisingly little. Since MEDassurance handles all processing and fulfillment for your clients on your behalf, the only required equipment is a copier with fax capabilities and brand new laptop computer (which will already be pre-loaded our exclusive and proprietary program). Simply put, it's a ready-to-go business in an electronic box. This will allow you to quickly become well organized, thoroughly prepared and ready for immediate business activities. As time and the scope of your business activities progresses, you may choose to invest in some basic office equipment and other related items.