GROUP BENEFITS QUOTE

 
 

To get a FREE quote, please choose the type of program below, complete your information, and a Gionis & Associates’ representative will contact you.

Name:

Title:

Company:

Website:

Mailing Address:

City:

Sate:

Zip:

E-mail:

Phone:

Fax:

Business Type:



 

 

 

 

 

 

 

Preferred Method of Contact:

E-mail Phone Fax

Which plans and services would you be interested in?
(Please check all boxes that apply.)

Employee Benefits Information

Group Health Insurance Plans (Fully funded)

Group Health Insurance Plans (Self-Funded)

Group Dental Insurance Plans

Group Life Insurance Plans

Group Disability Insurance Plans

Voluntary Life Insurance Plans

Cancer Plans

Vision Plans

Accident Plans

Prescription Plans

Long Term Care Plans

Supplemental Plans

COBRA Administration

Retirement Planning Information

401(k) Plans

Safe Harbor 401 (k) Plans

SIMPLE 401(k) Plans

Profit Sharing Plans

Money Purchase Pension Plans

Employee Stock Ownership Plans (ESOP)

Executive Retirement Plans

Government/Health Care/Non-Profit Retirement Plans

Other (please elaborate)

 

 

 

 

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