Forrest T. Jones Specialists in Association and Group benefits since 1953
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403(B) / 457 Administration
Request for Proposal
Questions? Please call our Group Plans Consultant at 800-821-7303 ext 1179.
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(including those waiving coverage, on COBRA or retired)
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Please send a proposal for:
Medical
PPO
HMO
Self-Funded
HSA
Flexible Spending Plans
Dental
Board Paid Life
Long Term Disability
403(b) Compliance Services
If requesting medical proposal, complete current health plan information
Current Carrier
Num. of Covered Employees
(including those waiving coverage, on COBRA or retired)
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(per employee)
Coinsurance
Copays:
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ER
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Employee Census Data
You can send us your census by:
File Upload
- Upload a file with your census in the box below. (Please include the fields shown below.)
Upload File:
Fax
- Download the
Request for Proposal
and fax to 816-968-0557
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403(b) / 457 Administration