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Group Benefits Quote - Company Information

Employee Information

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Last Name

dd-mm-yyyy

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Income

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Province

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For Groups with existing coverage, additional information may be required including:


  • Current plan design - booklet
  • Claims and rate history - copy of last renewal
  • Copy of last billing statement
  • EP3 Certificate


If the above information is available, please include for fastest quote processing.



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Eddie Dzamastagic
Tomlinson Alliance Group Financial
(m) 604.230.4893 | (o)604.574.9195 | (f) 604.574.1850
(w)
www.tagf.com | #102-5668 192nd Street Surrey BC V3S 2V7





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