Consultants

Broker Interest Form

I’m a broker looking to increase sales and offer my clients customized benefit options.

Contact Information

Name
Agency Name
Address
City
State
Zip
Phone
Fax
Email

Interest

I am interested in learning more about the following benefit solutions:
(Check all that apply.)

Pre-Tax Premium Only Plan

MedFlex Account (FSA)

Health Reimbursement Arrangement (HRA)

Health Savings Account (HSA)

Dependent Care Account (FSA)

Commuter Assist

COBRA Administration Proposal

Benefit Process Outsourcing

Webinar

I’d like to attend an upcoming agent webinar.

Please select an available topic, date and time

	What Brokers Need to Know about Debit Card Technology October 3, 2008 - 1:00 PM
	Understanding Consumer Driven Healthcare October 6, 2008 - 3:00 PM

Addtional Information

I’d like to receive an access code to your Online Agent Success Kit

I’d like to generate a client proposal

I’d like to have a broker support specialist contact me

Mission

Our job is to help you find the right balance between benefits and cost. Our tax-advantaged plans and self-management tools help your employees become more involved in their benefits. That helps you concentrate on the bigger picture.

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Benefit Solutions

We offer a full array of pre-tax benefit options, including HSAs with a portfolio of investment options.

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