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(480) 813-9100 Quote Chat

Census Form Download Page

THANK YOU FOR REQUESTING THE GROUP RFP & CENSUS FORM

<< Go Back To Group Insurance Home

Please click the button below to download the Census form in Excel format. Then, either choose to save, or check your downloads folder for GROUP-Census-GNI.xlsx.

Download the .xls form

It is important that ALL EMPLOYEES (Full and Part-time) be listed on the census form, not just the ones that are requesting group insurance. This doesn’t mean that someone who has insurance through another source, e.g., Medicare, will be required to sign up for this plan. But the insurance companies do want to know the total percentage participating.

DON’T FORGET TO DOWNLOAD AND FILL IN THE GROUP RFP FORM

Please click the button below to download the Group Quote form in Word format. Then, either choose to save, or check your downloads folder for GROUP-RFP-GNI.docx.

Download the .docx RFP

Once we receive this information we will approach several group carriers to get quotes based on the specific needs of your organization. We will then create a competitive analysis comparing benefits and options to help you compare various quotes and save the most money on your future premiums.

Don’t forget to bookmark this page so you can get back to it without re-entering your information

When complete, the forms can be submitted via email to the Group Department (as an attachment), or can be mailed or faxed to:
Good Neighbor Insurance
ATTN: Group Department
690 E. Warner Road #117
Gilbert, AZ 85296

FAX: 480-813-9930

Email to Group@gninsurance.com

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