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Get a Custom Plan Quote
Get a Custom Plan Quote
 

STEP 1
Please click here to download the CUSTOM QUOTE FORM and attached it to this form before submitting it to us.

STEP 2
Please fill in your information below and attach the form from above before submitting it.

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Agency Name:
Telephone number:
Street:
Unit number:
City:
Province:
Postal Code:
Website address:
Agency contact:
Agency position of contact name:
Contact e-mail:
Is your agency currently a member of the following associations?

Capacity Builders
In Kind Canada
OACAO
OCSA
Volunteer Alberta
None
How did you find out about OASSIS?


Does your agency currently have a benefits plan?
Yes
No
How many different plan designs does your agency offer?
Are any of your plans for union groups?
How many employees does your agency employ?
How many are currently covered under your existing plan?
How many hours do your employees need to work per week to qualify for benefits?
Does your agency conduct eligibility reviews? If so how often?
Is your agency’s employee data available electronically?
When does your plan renew?
Have you received your renewal yet?
File:
Please enter the code shown: