Group Health Insurance Lead

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Lead Number: 1043492
Lead Type: Group Health
Date Received: 02/02/2005

Contact Information:
Business Name: Swanson Electric
Contact Name: Wenda Swanson
Address: 7890 Frosses Court Sacramento, CA 95828
Phone Number: 916-549-1307
Fax: 916-549-1309
Email: swanson999@yahoo.com

Business Information:
Industry: Electrical Wiring Contractors
Nature of business:
Number of owners: 4
Number of FT emp: 4
Number of PT emp: 0
Number of subs: 0

Insurance and Underwriting Information:
Currently insured for Health?: no
If yes, Carrier:
Expiration date: //

Plan Features: Comprises a group of nine people covered. Need to look at various options.

Date Needed: 03/01/05

Census:

EE=Employee EC=Employee & Child ES=Employee & Spouse FM=Family
WV=Waive all Coverage

Emp#, Sex, DOB or Age, Health, Dental

1 M 40 EE EE
2 M 45 ES EE
3 M 34 FM FM
4 F 60 EE EE
5 M EE EE
6 M EE EE
7 M EE EE
8 M EE EE

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