Employee Benefits

Over 60% of Californians rely on their employer's group health insurance plan. Offering health benefits to your employees is not only more affordable than you might think, it also decreases employee turnover, and increases employee job satisfaction. Offering health benefits tells your employees that you care about them and their well being, and you want them to keep working for you. In addition, Group Health Insurance is 100% tax deductible as a business expense, and specialized plans even allow employees to contribute pre-tax dollars to qualified health insurance plans.

RL & Associates will work with you to customize a plan that fits within your budget AND meets your employees needs. We work with all sizes of businesses from 2 employees to 1000 employees. When it comes to Group Health Insurance, we've got you covered.

If you would prefer to speak with someone instead of filling out this form, please call our office, toll free, at 800-684-2185.

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Insurance Information



Tax ID or FEIN #:*

Coverage Preference: HMO   PPO   HSA   Other  
Also Include: (check all that apply) Vision   Dental   Life  Disability  Long Term Care 

Description of your needs/likes/dislikes:
YES   NO, we have more than 10 employees.
Our agency would like to make this process as efficient and seamless as possible. Please contact our office and Iíll gladly hold a brief conversation with you to address your questions, comments or concerns.

Roland Levine - Senior Principal
805-783-7130 ext.202

Please complete census below. For more than 10 employees, please email or call our office to receive a large group census form.
Employee Name/initials Date of Birth (DD/MM/YYYY) Coverage Type Gender M/F Home Zip Code
M   F
M   F
M   F
M   F
M   F
M   F
M   F
M   F
M   F
M   F

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RL Insurance Associates serving San Luis Obispo, Monterey,
and Santa Barbara counties as well as throughout the state of California
for Business Insurance, Health Insurance and Life Insurance

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