Colonial Life Discovering Your Business

Colonial Life

Tell us about you
At Colonial Life we focus on providing bottem-line impacting services to employers at no cost. In order to provide you with the best possible solutions for your particular business first we must understand your business a little better.

When it comes to Business Solutions that work for you:

One Size does not fit all!
Full Name*

First NameLast Name
E-mail*
Contact Number*

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Colonial Life

General Administration Questions to help us understand your process'
When is your open enrollment?

MonthDayYear
Date
What is the process for your Open Enrollment?
How is the benefit package and any changes communicated to the employees?
What about your currently offered Benefits, Benefit Communication Processes or system would you "Not" want to change?
What about your current offered Benefits, Benefit Communication Processes or system would LOVE to chance if you could?

Colonial Life

Let's talk
Here at Colonial Life we respect your preferred methods of meeting with us. We would be happy to meet with you in-person however during the COVID19 Epidemic we are happy to meet with you "Virtually" or with a simple call.
Who is your Colonial Life Agent? (Contacted you)
Select one please
How would like us to meet with you?

In-PersonTelephone CallVirtual Meeting
For In-Person visits select dates on

Tuesday's, Wednesdays and Thursdays.
You tell us when you are available.
E-mail address you would like a Virtual Meeting invite
example@example.com
If you are requesting to meet with a simple phone call, what number would like us to call you at?

Area CodePhone Number
If in an in person meeting is requested Please indicate where you would like to meet.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Thank you very much for taking the time to tell us about your business. We will get back to you promply.

As always you can contact our office at the following numbers:

District General Agent

Suzanne Taylor (618) 623-8786

suzanne.taylor@coloniallifesales.com

Agency Development Manager

Jaime Salinas (618) 704-4389

jaime.salinas@coloniallifesales.com
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