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CONTACT US:


Azimuth Risk Solutions sm , LLC
5218 S East St, Suite E-1, Indianapolis, IN 46227 USA

service@azimuthrisk.com

P: 888-201-8850 or 317-644-6291
F: 888-201-8851 or 317-423-9620
 
 
Azimuth Risk Solutions Position Statement Coronavirus (COVID19)
What you need to know.
 
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COMPLAINTS

 
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Get Contracted
  
 
THE CONTOUR GROUP MEDICAL PLAN
REQUEST FOR PROPOSAL
 
Group/Organization Name:* Contact Person:*
Telephone:* Fax
Email* Nature of Industry:*
Street Address:* Postal Code:*
Country:* State/Province:*
City:* Requested Effective Date:*
(MM/DD/YYYY)
*Total number of international assignees (expatriates, third country nationals, key local nationals)
Of the international assignee population, total number of U.S citizens
Is the company/organization a subsidiary or division of a U.S. or Canadian corporation?
  
Are any employees/dependents currently residing in the U.S. or Canada?
  
If any employees/dependents reside in the US, is any located in Florida?
  
Does applicant currently have group medical insurance?
  
Has another insurance company refused to quote on this group?
  
Are any employees or dependents presently on COBRA?
  
 
REQUESTED PLAN OF BENEFITS
Deductible Max. Deductible
$250
$500
$1000
$2500
$5000
$10500
$20000
2 per family
3 per family
Lifetime Maximum
$1000000
$2000000
$5000000
Coverage in the US: Include Exclude
  

 

 


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