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Health Insurance and Workers Compensation Quote

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Workers Comp and Health Insurance Quote

 

Fill out the form below for a no risk, no obligation quote. The more information you provide us with with the quicker we will be able to provide you with a quote.In order to qualify for our programs a minimum of $50,000 of payroll must be processed. In order to qualify for the health program, you must have a minimum of 2 participants.

* Indicates a required field.

Name:*

Email:*

Company Name:*

Address:

City:

State:

Zip Code:

Phone:

Tax Id #:

Estimated Annual Payroll by Workers Comp Code

(Code is 4 digit number listed on Workers Comp Dec page such as "8810 - Clerical")
Code 1* State* Payroll*
Code 2: State: Payroll:
Code 3: State: Payroll:
Code 4: State: Payroll:
Workers Comp Modifier:

Benefits of Interest

Health      Vision
Dental      401k
Life          Pre-tax Cafeteria 125 Plan

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