Group Employee Benefit Quotations:

Please note, there is no charge to the individual for using the services of a licensed insurance agent. The commissions are entirely paid by the carrier. The carrier is prohibited from selling the policy any cheaper if an individual does not use an agent.

Please be aware that we never share any of your contact information with anyone, and that any and all personal information is kept absolutely confidential. No one will call you unless you ask to be called, and the only person you will be talking to is Michael C. Stettner, CIC.

Thank you for visiting our web-site, and please let us know how we can assist you.

Due to the nature of the employee benefit field, we will need to obtain the following data and possibly have an on-site or teleconference meeting in order to properly market your account to obtain the most aggressive rates possible with the plan designs of your choice.

Please Complete:

Full Name:

Contact Name, Title, Phone Number, Email, and Fax:

Name of Business:

Complete address of business including any satellite sites:

Nature of business:

Number of F/T employees :

Current Carrier :

Current plan design or designs :

Renewal Date :

Employee Census to include:

A general census sheet is attached should you wish to follow that format. General Census Form. When you complete the general census form you can E-mail it to sia383@aol.com Once we have reviewed the data we will contact you in order to discuss possible options, the time the marketing process should take, as well as the proposal process. Should you have any questions, concerns or thoughts through the process, please do not hesitate to contact me. Sincerely, Michael C. Stettner, CIC Agent