AFFILIATED 

BENEFIT REPRESENTATIVES

[ Home ] INSURE YOUR MOST VALUABLE ASSET! . . . . . . . . .YOUR ABILITY TO EARN AN INCOME. BUY DISABILITY INCOME!

 

 

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OPEN ENROLLMENT FOR

RW PERFUSION

YOUR EMPLOYER HAS REQUESTED THAT YOU REVIEW THE BENEFIT OPTIONS BELOW AND EITHER WAIVE OR INDICATE HAVE AN AGENT CONTACT YOU AND PROVIDE YOU ADDITIONAL INFORMATION

BY CLICK ON THE LINKS BELOW, YOU CAN BOTH REVIEW AND DOWNLOAD THE INFORMATION FOR THESE PLANS THAT ARE AVAILABLE TO YOU DURING THIS YEARS OPEN ENROLLMENT!!!

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DISABILITY INCOME INSURES YOUR MOST VALUABLE ASSET: YOUR "ABILITY" TO MAKE AN INCOME!

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SUPPLEMENTARY MEDICAL (SUPPLEMENTS  CO PAYS AND DEDUCTIBLES)

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LIFE INSURANCE (FOR EMPLOYEES AND DEPENDENTS)

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ACCIDENT INSURANCE

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CANCER INSURANCE

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CRITICAL ILLNESS INSURANCE

YOUR EMPLOYER IS REQUESTING THAT YOU COMPLETE THIS FORM BELOW VERIFYING YOUR PARTICIPATION IN THIS YEARS OPEN ENROLLMENT.

YOUR NAME

INDICATE YOUR CHOICE

PHONE NUMBER (AGENT WILL CALL YOU AT THIS NUMBER)

I AGREE THAT MY EMPLOYER IS COMPLIANT WITH ERISA AND HAS OFFERED ME THE OPTION OF PARTICIPATING IN THE COMPANYS VOLUNTARY BENEFIT PLAN FOR THIS YEARS OPEN ENROLLMENT (PLEASE CHECK)