To begin your complimentary quotation on a group benefits package we need your name, company name, email address and telephone number.
After you complete this form, you will receive an email with a link and temporary password. Copy the password, and click the link. When it opens, paste the password into the password field.
(To copy the password, highlight it and press "Ctrl + c". To paste it into the password field, press "Ctrl + v".)
In addition to answering some basic questions about your company, you will be asked to provide your employees' name, gender, age, marital status, occupation, and salary.
You will also be able to select in detail the various components of the Group Benefits plan you would like to cost. If you are not familiar with these components, take a moment to visit the Group Benefits section of our website which explains them.
You may also be contacted by a representative regarding previous group experience.
If you have any questions, you can use the box in the Online Services area on the left side of this page, or contact me.
Please take a moment to read our privacy statement, which explains what we do, and do not do, with information that you send us.