Welcome to Insurance & Financial Services

Please complete the form below so we can assist you with your insurance

Business Name
Business Phone
Contact Name
Address
Address
County
City
State
Zip
Would you like an IFS Representative to call you?	Yes No
If Yes, please enter the most convenient time and day for you to receive a call.
Would you like to receive information via e-mail?	Yes No

Which IFS services would you like to receive information about?

Business Services
Worker’s Compensation	Business Property
Business General Liability	Equipment & Marine Coverage
Business Auto and Garage	Business Excess/ Umbrella Liability
Professional Liability	Directors & Officers
Construction Contract Surety Bonds	License and Permit Bonds
Employee Dishonesty Coverage
Personal Services
Homeowners	Individual Health & Disability Insurance
Recreational Vehicles	Automobile/Classic Autos
Motorcycles	Boats/Yachts/Jet Skis
Valuable Personal Property	Personal excess Liability (Umbrella)
Personal Life and Health Policies	Flood Insurance
Individual Life Insurance
Employee Benefits
Self-Funded Medical and Dental	Pre-Paid Legal Services, Inc.
Voluntary Benefits	Section 125 Premium Only Plans
Group Medical Insurance	Flexible Spending Accounts
Group Dental & Vision Insurance	Advocacy / Assistance Programs
Group Disability	Part-Time Employee Benefits
Group Long Term Care Insurance
Group Life, Accidental Death & Dismemberment
Health Savings Accounts (HSAs) / Health Reimbursement Arrangements (HRAs)
Financial Services
Retirement Planning
Type this number in this box:

	Call us today at 800.598.0420
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