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SK ASSOCIATES
292 East Dorrance Street
Kingston, PA 18704-5231
Phone: (570) 718-0260
Toll Free: (800) 314-9706
Fax: (570) 718-0261
Websites:
www.pagrouphealth.net
www.pamedicareinsurance.com
Please click here for Company Forms.
Request a quote for Group Health
About You
Company Name*
Your First Name*
Your Last Name*
Email*
Email address (retype)*
Street Address*
City*
State*
Please Select
PA
County*
Zip*
Phone (Day)*
Ext.
Phone (Evening)
Fax
About Your Business
Sole Proprietor
Partnership
Corporation
LLC
Association
Do you currently have Group Health Insurance?*
Yes
No
If "yes", when does your current policy expire?
If "yes", who are you currently insured with?
Type of Business
Description of Business Operations:
Number of Locations
Number of employees
Please select
1-5
6-10
11-20
21-50
50-75
75-100
100 and above
Plan Type
Please select
HMO
PPO/POS
Major Medical
Not Sure
Optional coverage (check the ones you may want)
Group Dental Insurance
Group Long Term Care
Group Disability Insurance
401 K & Retirement Plans
Group Life Insurance
Details
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