Group Benefits

Owner / Company Information

Plan Information *

Category  Basic Plan  Advanced Plan
Drug Maximum  $15,000/yr  $15,000/yr
EMS  Included  Included
Vision      Included
Semi Private      Included
Dental Maximum  $800/yr  $1,000/yr
Travel  Included  Included

Input Owner / Employee Information

Owner / Employee NameAgeFamily Status

Terms & Conditions

I agree to be contacted by a licensed South Coast FInancial Services Financial Advisor to provide a quote for benefits as outlined above.
I understand that the quotes given are approximate values and the actual value will be presented when I meet with the Financial Advisor.
I agree that I will not hold the Financial Advisor or any affilliates responsible for the quote obtained through this submission.

* quotes are based on Green Shield Group Benefit Plans