Employee Benefits Group Quote

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Questions about Employee Group Benefits?

Employee benefits are various non-wage compensations provided to employees in addition to their normal wages or salaries. Employee benefits might include medical, prescription, vision and dental plans; health and dependent care flexible spending accounts; retirement benefit plans (pension, 401(k), 403(b)); group-term life and long term care insurance plans. Companies who offer these types of work-life perqs seek to raise employee satisfaction, corporate loyalty, and worker retention by providing valuable benefits that go beyond a base salary figure. Normally, employer-provided benefits are tax-deductible to the employer and non-taxable to the employee. The purpose of employee benefits is to increase the economic security of staff members, and in doing so, improve worker retention across the organization.

Fill out the form below to receive a quote for Employee Group Benefits…

Group Information

Name of Business or Group *
Business Type ( ex., Office, Retail, Restaurant, Manufacturing…) *
Contact Person Email *
Phone Number
SIC Code (optional)
Address (Street, City, Zip) *

Agent: Grant Smith, LUTCF, 2916 Pine Grove Ave, Port Huron MI 48060 (810) 984-1373

Coverage Amounts and Duration

Life / Accidental Death and Dismemberment

Flat Amount (covers all employees with same amount)

Class 1

Variable (based on calculation - ex. 1 X salary, 2 X salary, etc.)

Class 2

Class 3

Dependent Life

SpouseChild

Short Term Disability

Flat Amount

Class 1

Percentage of Salary

Class 2

Maximum of

Class 3

Benefit Duration

Long Term Disability

Percentage of Salary

Monthly Maximum

Elimination Period

Benefit Duration

Employee Information

Submit Employee List

File Upload An employee list may be uploaded here or you can use the fields below to fill in each employee individually. Please ensure only the information required is included in the file. Acceptable file formats for upload are doc, docx, txt, xls, and pdf.

Required Info Job Title (Long Term Disability only), Salary, Gender, Employee Class, Birthdate (mm/dd/yyyy)

Employee 1

Job Title (*Only required for Long Term Disability)
Salary (enter the employees annual salary)
Employee Gender
Employee Class

Birth Date

Month

Day

Year

Employee 2

Job Title (*Only required for Long Term Disability)
Salary (enter the employees annual salary)
Employee Gender
Employee Class

Birth Date

Month

Day

Year

Employee 3

Job Title (*Only required for Long Term Disability)
Salary (enter the employees annual salary)
Employee Gender
Employee Class

Birth Date

Month

Day

Year

Employee 4

Job Title (*Only required for Long Term Disability)
Salary (enter the employees annual salary)
Employee Gender
Employee Class

Birth Date

Month

Day

Year

Employee 5

Job Title (*Only required for Long Term Disability)
Salary (enter the employees annual salary)
Employee Gender
Employee Class

Birth Date

Month

Day

Year

Employee 6

Job Title (*Only required for Long Term Disability)
Salary (enter the employees annual salary)
Employee Gender
Employee Class

Birth Date

Month

Day

Year

Employee 7

Job Title (*Only required for Long Term Disability)
Salary (enter the employees annual salary)
Employee Gender
Employee Class

Birth Date

Month

Day

Year

Employee 8

Job Title (*Only required for Long Term Disability)
Salary (enter the employees annual salary)
Employee Gender
Employee Class

Birth Date

Month

Day

Year

Verification

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Questions about Employee Group Benefits?

Fill out the form below to receive a quote for Employee Group Benefits…

Benefit Type

Group Information

Agent: Grant Smith, LUTCF, 2916 Pine Grove Ave, Port Huron MI 48060 (810) 984-1373

Coverage Amounts and Duration

Life / Accidental Death and Dismemberment

Dependent Life

Short Term Disability

Long Term Disability

Employee Information

Submit Employee List

Employee 1

Birth Date

Employee 2

Birth Date

Employee 3

Birth Date

Employee 4

Birth Date

Employee 5

Birth Date

Employee 6

Birth Date

Employee 7

Birth Date

Employee 8

Birth Date

Verification

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