Miller & Associates

Get A Group Quote

Congratulations on your decision to explore and/or offer Employer Sponsored Health, Dental, Vision or Life insurance benefits for your employees! It's no secret that a solid benefits package or even a beginner medical plan is a HUGE factor in attracting and retaining talented and loyal employees. As a bonus you maintain a Happier, Healthier more focused work force with fewer sick days and fewer distractions from personal or family medical needs. Plus, your contributions for the monthly premiums are 100% tax deductible to the business.

Every business is different and has unique needs. We represent many insurance companies and can offer you coverage and pricing options tailor made just for you.

Below is a list of information that we will need in order to help us identify who you are, what you do, and how we can best help you. Please complete all fields, or call us to discuss in person. You can also fax us your census of eligible employees including name, DOB, dependents enrolling or employee only & home zip code to 303-751-4550 and we will begin quoting for you immediately.

Business Name:
Address:
 
Phone:
Number of locations
Name of contact person:
Year Business Started:
Standard Industrial Classification (SIC) Code: (look up code)
Number of eligible employees:
Briefly describe the focus of your business:
Do you have insurance in place now?
  • Yes
  • No
Do you have your eligible employee census including Employee Age/DOB, Dependent Status, Home Zip Code, and indicating enrolling or waiving w/other coverage, in spreadsheet status format to attach to this inquiry form?
  • Yes
  • No
What type of insurance policies will you need?
  • Worker's Compensation
  • Property
  • General Liability
  • Business Auto
  • Tools & Equipment
  • Professional Liability
  • Employment Practices Liability
  • Life & Health
  • Other (please describe):
When you're finished, please press the 'Submit' button.

Once we acquire these basics, one of our agents will contact you to gather some additional information about your operations, and we will start building an insurance portfolio based upon your specific wants and needs.

We appreciate the opportunity to earn your trust!

 
Speak to a Live Agent Now! 303.751.4554
Miller & Associates Insurance | 'Making Health Insurance E-Z for You!' | 303-751-4554
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