South Carolina Small Business Chamber of Commerce

Health Plan Interest Form

• Join Us
• Health Plan Interest Form
• Badge Page
• Payroll Processing Service Form
• SCSBCC Membership Benefits
• 401k Plan
• Advertising Discounts
• Webinars and Conference Calls
• Accidental Death Interest Form

 

 

 

 

YES!  I am interested in receiving more information on the new SCSBCC health insurance plan for small businesses. Please have Gibson & Associates contact me.

Contact Name

Organization Name

Phone number

Email address

Address

City

Zip code

Current health plan carrier

Renewal date

Number of employees on health plan

Current benefits: deductible, co-insurance, etc.)

Current rates

Additional info