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Voluntary Worksite Benefits

Voluntary Worksite Benefits (VWB) is another great employee benefit package you can use to attract and retain quality employees. VWB are competitive, comprehensive benefit packages that provide a cost-effective solution that can help employees offset out-of-pocket medical expenses. These benefits are employee-paid and can help fill the gaps created by high-deductibles and co-pays, providing additional financial security.

Benefits

Multiple plans available;
Some plans issue regardless of your health down to 2 enrolled;
Your money to use as you see fit.

Name*
First Last
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Company/Practice Name*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Signed by:*
THE UNDERSIGNED DECLARES THAT THE STATEMENTS CONTAINED IN THE INFORMATION PROVIDED TO THE INSURER IN CONJUNCTION WITH THIS APPLICATION ARE TRUE, ACCURATE, AND NOT MISLEADING.

SIGNING OF THIS APPLICATION DOES NOT BIND THE APPLICANT OR THE INSURER TO COMPLETE THE INSURANCE, BUT IT IS AGREED THAT THE STATEMENTS CONTAINED IN THIS APPLICATION AND ANY OTHER INFORMATION SUBMITTED TO THE INSURER IN CONNECTION WITH THE UNDERWRITING OF THIS INSURANCE ARE THE BASIS OF THE CONTRACT SHOULD A POLICY BE ISSUED, AND HAVE BEEN RELIED UPON BY THE INSURER IN ISSUING ANY POLICY.
I Agree.
Date*
Date Format: MM slash DD slash YYYY

SMA Benefits

SMA Services, Inc. Benefit >

Voluntary Worksite Benefits

Benefits

Our Team

SMA Services, Inc. Benefit >

Voluntary Worksite Benefits

Benefits

Our Team

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