Group Benefits Agency, Inc. Contact GBA at 1-800-282-3984
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Home > Get a Quote > Small Group Coverage
Get a Quote
There are three ways for small companies to get an insurance quote from GBA.
  • Download the Census Form (See links to the right, right-click, "save as"), fill it out, and fax it directly to GBA at 614.785.0266.
  • Make a Small Group Insurance Inquiry
  • Call a Small Company Sales Consultant at GBA at 1.800.282.3934.



Small Group Census Form
(In Microsoft Excel Format)

Small Group Census Form
(In Adobe PDF Format)

OR

Make a Small Group Insurance Inquiry

Note: If you choose the PDF fromat above, you will need Adobe Acrobat Reader, free software that lets you view and print PDFs. Click the image to download.

Get Acrobat Reader



©2002 Group Benefits Agency, Inc.
1105 Schrock Road, Suite 236    Columbus, Ohio 43229
(614) 785-1991    1 (800) 282-3934    Fax (614) 785-0266

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