Eligibility for Small Group (summary) Benefits
1

2
3		 2-50 eligible people (w2, partners, sole proprietors, corporate officers...not 1099) can include part-time or not.
75% of eligible people must go with the plan.
Employer must pay at least 50% of employees premium.		 1
2
3
4		 Plans are guaranteed issue... regardless of health.
Premiums by employer are 100% tax deductible.
Employers can pay as little as 50% of the employees premium.
Can offer choice of plans to each employee.

Send Information to:                                                                                                            I want information on:

First Name

Last Name

company

address

city

state

Coverage is for   
Texas companies only
zip

county

Tel

Fax

e-mail

Current Coverage
Please just e-mail me a quote...I will 
   request further information if I am 
   interested.
Company


 Unicare
BCBS of Texas
No Preference - send least 
     expensive according to 
     selection below 
Medical All Plans
HSA High-ded
No-Deductible  
     Copays PPO
Deductible PPO
HMO
Basic
Dental PPO Dental
HMO Dental

Life 
Include quote 

Base my request on:                        
Age

Dependents

 Zip leave blank
 if same as company
Employee 1

Employee 2
Employee 3
Employee 4
Employee 5
Employee 6
Employee 7
Employee 8
Employee 9
Employee 10
Employee 11
Employee 12
Employee 13
Employee 14
Employee 15

For groups over 15 
 		 Send me information on P.O.P. which allows 
us to pay premium with pre-tax dollars  
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