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Insurance Services Contact Form

Learn more about improving your benefits, and bottom line!

You will be contacted by one of our employee benefit managers within two business days. For immediate assistance, call (800) 748-0344 or (517) 371-7693.

Note: An asterisk (*) denotes a required field.

* Name:
* Title:
* Organization
* Address
* City
* State
* Zip Code
   
* Phone:
Fax:
* Email:
   
* Industry
* Number of Employees :
Number of Employees Covered By Health Plan:
Current Health Plan Carrier:
Current Dental Plan Carrier:
Current Vision Plan Carrier:
Current Life, AD&D & Disability Carrier:
Plan Renewal Dates:

After clicking once on the submit button, please wait for a confirmation to appear on your screen.

                


 
     
 
 
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This web site presents a summary of information that is intended to be accurate and authoritative.
The Michigan Chamber of Commerce and Miller Canfield, however, cannot be responsible for any errors, omissions, or changes in the material
presented, nor for any administrative or adjudicative body’s interpretation or application of the legal premises upon which this material is based.

© 2010 Michigan Chamber of Commerce
600 S. Walnut St., Lansing, Michigan 48933.
(517) 371-2100