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Business Group Health Insurance Quote

Group Name:  
Group Contact:  
Group Address:  
City, State & Zip:  
E-Mail Address:  
Telephone:  
Fax:  
Current Health Carrier:  
Carrier Contact:  
# of employess:  
Effective Date:  
How long in business:  
Cobra Employees:  
Worker's Compensation?:  Employees in waiting period:  

Census
Name , Age
Dependent Status
Zip Code
Waiving

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106 S. Penn
Oberlin, Ks 67749
Tel: (785) 475-3310
Fax: (785) 475-8965
117 N. Kansas
Norton, KS 67654
Toll Free: 866-484-6236
Tel: 785-877-4016
Fax: 785-874-4832
PO Box 235
101 Front St.
Winona, KS 67764
Tel: (785) 846-7476
Fax: (785) 846-7479