Group Health

Thank you for your interest.

There are certain types of benefits that employees will automatically expect from their employer. The first is health care. The majority of employees will not only expect you to provide these benefits, but may also be interested in other options, including group life and group dental.

After completing the form, please click on the "Submit" button. Your information will be emailed to our offices and we will process your request. All information will be kept confidential.

» Required Fields

<h2 class="formSectionHeading">Contact Information</h2><hr>
» Name:
Phone:
» Email Address:
<h2 class="formSectionHeading">Tell Us About Your Business</h2><hr>
Company Name:
Address:
City:
State:
Zip Code:
Please describe the type of business<br> you operate:
When would you plan on implementing your new health-care plan?	During the next month Within three months Before the end of the year
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<p><em>These quotes do not guarantee coverage and <br>actual premiums may differ from the quotes provided</em></p>

Patrick Funke & Associates, Inc.

5080 N. 40th Street Suite 480

Phoenix, AZ 85018

Phone: (602) 274-401K

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Fax: (602) 296-5005

www.pf-associates.com

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info@pf-associates.com

Securities and Advisory Services offered through Geneos Wealth Management, Inc. Member FINRA SIPC

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