Multi-Life, Inc. 

  Marketers of: Group - Life - Health - Disability

A Brokerage Firm Serving the Insurance Needs of Agents and Companies Throughout the Southeast  

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Multi-Quote
Your fast, easy way to request quotes.

Group Quote

If you are an Agent needing a quote or an Employer with 2 or more employees please either call us at (800) 607-8833 or fill out the following information. When it is completed, please click 'Send'.

Group health plans are custom-tailored to each group, therefore we may call you to discuss the specific needs and circumstances of your group. The following information will help us get started.

Name:
Are You an Agent?
Business Name:
Address:

City:
 State:    Zip:
Phone:
  
E-Mail:
Type of Business:
Do you have more than one location?

Please tell us about your company:

How many employees do you have:
Type of coverage you are looking for:

Do you carry Worker Comp?
HMO
Do you currently offer a Group Health Plan?
PPO
If so, who is your current carrier:
POS
When does your plan renew:
Dental
 
Disability
 
LTC

 

Comments: Please provide any other information about your group that will help us recommend a medical plan to meet your needs. Please include information about any known medical conditions in your group.


Group Census

The following information is needed on all those applying for coverage.

If you have more than 15 employees, please fax a census along with contact information to (615) 371-8833.

Coverage Codes are:
Employee -- EE, Employee Spouse -- ES, Employee Child # -- EC#,
Employee Spouse Child(ren) -- ESC#, Life Only -- Life

 

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Thank you. We will contact you within 48 hours to discuss your options.

This website is NOT a solicitation to sell you insurance. Solicitations can only be made with state and insurance company-approved brochures. The information contained in this site may contain generalities or inaccuarcies. Please use the services on an agent and read the brochures and policies for specific limitations and exclusions.