Canter Insurance Agency: Insurance Services

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Employer Group Plan Information Request

To obtain further information about Insurance and other Benefit Plans for Employer Groups, provide the following information and click the "Submit" button at the bottom of this form.

The fields displayed using bold text are required to submit.

Your First Name:
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If you want to be contacted by telephone, select the best time to contact you:

Employer Group and Other Benefit Plans
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Please select the plan(s) for which you would like to receive information. (Check all that apply.)

Group Health Care Plans
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Group Vision Plans
Group Life Insurance Plans
Other:

Thank you for your request and input!

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Canter Insurance Agency
22147 Carinloch Street
Calabasas, California 91302
(818) 226-9255 (800) 726-2422
License #0787997
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