TRI-COUNTY REGIONAL CHAMBER

WELCOME TRI-COUNTY REGIONAL CHAMBER MEMBERS!

This program is designed to offer Medical, Dental, Vision, and Supplemental Insurance options to chamber members with 2-4 employees who wish to enroll in a plan. We’ll work with you to define a benefit strategy that’s going to give you the most for your investment, shop for the correct plans to meet this strategy, and enroll your employees with ease.

One of our top priorities is to make sure you are compliant when offering benefits to your employees. We’ll provide you with tools and resources to ensure you’re always compliant with Federal and State regulations. We provide Section 125 documents, Benefit Notices, and ERISA Wrap documents, as well as a state of the art HR library.

To sign up for your complimentary HR Portal, follow our link: HR & Compliance

Would you like your employees to be able to onboard and enroll in benefits online? We have a Benefit Administration System that’s designed just for you. To learn more follow our link: Benefit Admin System

We look forward to working with you.

To obtain a quote, fill in the form below:

Company Contact Name*
First Last
Company
Phone
Email
*
City State ZIP Code
Enter employee information below to start your quote!
Employee Name
Employee 1 Information:
First Name Last Name
Employee Address*
City State ZIP Code
Employee D.O.B.
Employee D.O.B.
MM slash DD slash YYYY
Number of 1st Employee's Dependents
Number of 1st Employee's Dependents
Age of Dependents: 11, 14, 18 (Separate by Comma)
Age of Dependents:
Enter Information for 2nd Employee Below:
Employee Name
Employee 2 Information:
First Name Last Name
Employee Address
City State ZIP Code
Employee D.O.B.
Employee D.O.B.
MM slash DD slash YYYY
Number of 2nd Employee's Dependents
Number of 2nd Employee's Dependents
Age of Dependents: 11, 14, 18 (Separate by Comma)
Age of Dependents:
Enter Information for 3rd Employee Below:
Employee Name
Employee 3 Information:
First Name Last Name
Employee Address
City State ZIP Code
Employee D.O.B.
Employee D.O.B.
MM slash DD slash YYYY
Number of 3rd Employee's Dependents
Number of 3rd Employee's Dependents
Age of Dependents: 11, 14, 18 (Separate by Comma)
Age of Dependents:
Enter Information for 4th Employee Below:
Employee Name
Employee 4 Information:
First Name Last Name
Employee Address
City State ZIP Code
Employee D.O.B.
Employee D.O.B.
MM slash DD slash YYYY
Number of 4th Employee's Dependents
Number of 4th Employee's Dependents
Age of Dependents: 11, 14, 18 (Separate by Comma)
Age of Dependents:
Any additional information:
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