info@ohiopublicentityconsortium.org

614-873-6000

Benefits Survey

Advisory Board Members
Steve Dunn
Sales Representative
Mount Carmel Corporate Health

Betty Klingenberg
Fiscal Officer
Village of Boston Heights

Robert Oppenheimer
Chief of Police
Perry Township / Franklin County

Beth Bickford, MS, RN
Executive Director
Association of Ohio Health Commissioners

K. J. Watts
Past Vice President 5th District
Ohio Association of Professional Fire Fighters

 

The Ohio Public Entity Consortium
PO Box 1135
Dublin, Ohio 43017
614-873-6000
info@ohioinsuranceservices.com ohiopublicentityconsortium.org

Please provide a few helpful details using the survey below

Contact Name (required)

Entity

Phone Number (required)

Address

State

Email

How may employees do you have?

FT

What type of coverage do you have?
LifeHealthDentalVisionNone

How many employees are covered by your plan?

Title

County

Fax

City

Zip

Meeting Date & Time

 

PT

What is the name of the insurance company?

What is your renewal date?

Security Code (enter code shown below)
captcha