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Get Your Group Dental Quote

Florida Group Dental Insurance Online Quotes


We offer a wide selection of group dental insurance plans.

Please fill out the form and a representative will get back to you with the best group dental plan available for your company

Florida-Life-Insurance-Quotes  

Group Dental Insurance Quote

Required fields are indicated with an asterisk

Section-1


Please enter the information for the contact person:

     

First Name:
Last Name:
Email address:
Company:
Title
Street Address
Address 2
City
Zip Code
DOB:
Fax Nub.
Phone Nub.

 

Section 2

Please enter the company information:

Company Name
Company Address
City
State
Zip Code

Section 3

Additional company information:

Where is the company's home office?

City
State

Is this where the benefit buying decision is made?

If "No", where is the decision made?

City
State

What is the company's SIC Code?

SIC Code

What is your estimate of the total employees and family members?

Employees
Add'l Family Members

Does the company currently offer a dental benefit to its employees?

If you answered "No" above, please skip to section 5.

Section 4
If you answered YES, then:

Please indicate the type of plan currently offered:
(check all that appl(check all that apply)

Traditional Indemnity
Preferred Provider
Dental HMO

Is this a voluntary program or does the company pay all or part of the benefit?

Voluntary
Employer pays all
Employer/Employee contribution

When does the contract with the current carrier expire?

Date

Who is the current carrier?

Name

Why are you looking for a new dental benefits carrier?
(check all that apply)

Dissatisfied with service
More plan options needed
Company policy to re-bid
Better cost/value
Larger network needed
Other

How soon will you need a formal bid response?

Date

Section 5 If you answered NO, then:

What type of dental benefits plan are you interested in?

Traditional Indemnity
Preferred Provider
Dental HMO

How soon would you like the program in place?

Date

How soon will you need a formal bid response?

Date

Section 6 Is there anything else you would like to tell us about the company?

Section 7

The Census

Please copy and paste the details of your employes or e-mail us the file.

Please provide the following information for each employee to be quoted in this group policy:
• First and Last Name of each person
• ZIP Code where the employee resides
• Birth Date and Gender
• Spouse/Children: whether the employee's spouse and/or children
should be included in the quote


Cheap Dental Insurance Plans Florida Health Insurance Plan Quotes

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