Business Name:    
Premises Address:
State:  South Carolina
Zip Code:
Contact Name:
Phone #:    Ext #:
Fax:    Years in Business:
Email Address: (Required) 
Description of Operations or SIC code:

Current Insurance Company: 
Policy Expiration Date:          (mm/dd/yyyy)

South Carolina Employee Information:

Do you currently offer health insurance benefits to employees?
Group Health Insurance Coverage For:
How many employees to be insured:    

South Carolina Group Health Insurance Coverage Desired:

HMO Group Health Insurance   HMO Co-Pay Amount Desired:  
PPO Group Health Insurance     PPO Deductible Amount Desired:
POS Group Health Insurance     POS Co-Pay Amount Desired:    
Fee-for-Service Insurance          Fee-for-Service Deductible:         

Choose Benefit Options:
Group Dental Insurance Coverage:
Group Vision Insurance Coverage:
Group Life Insurance Coverage:    

Has any employee to be insured experienced serious
health problems during the last 18 months?

Additional Question or Comment:

Click on the "Submit Quote Request" button below to send
your South Carolina Group Health Insurance quote request.**

**Information received from this South Carolina Group Health Insurance
quote request form sent to Russell-Massey & Company will be for our
use only and will not be sold, given to or distributed to any other parties. A
quote will be based on the South Carolina group health insurance policy
information provided and does not guarantee acceptance of the risk by us.
The precise coverage afforded is subject to meeting underwriting
guidelines, and the terms, conditions and exclusions of the policy as
issued. By submitting this request you acknowledge that this is neither
an offer to insure nor a guarantee of insurance. Completion of this form
does not entitle your business to a South Carolina Group Health Insurance
plan policy. We are licensed in South Carolina and will not provide group
health insurance quotes for other states.

South Carolina Group Health
Insurance Quote
Russell-Massey & Co. of
Columbia, SC offers
comprehensive commercial
insurance coverage options
and affordable business
insurance services throughout
South Carolina.
Contact us about South
Carolina Group Health,
Commercial Auto,
Commercial Property,
General Liability, Worker
Comp, Contractor, and
Business Owners Insurance
toll free at (800) 849-7475.
In addition to South
Carolina Group Health
Insurance quotes, we also
offer other affordable
South Carolina Business
Insurance quotes.
We are a Columbia, SC insurance agency offering an affordable
South Carolina group health insurance policy quote to your mid-sized,
large, or small business in any of the following towns, cities and
counties in South Carolina: Chapin, Arthurtown, Saluda Terrace,
Sandwood, Arcadia Lakes, Cayce, Olympia, Forest Acres, Dentsville,
Eau Claire, West Columbia, Springdale, Denny Terrace, Belmont, St.
Andrews, Irmo, Oak Grove, Lexington, Galaxy, Bluff Estates,
Hazelwood Acres, State Park, Haskell Heights, Lincolnshire,
Ballentine, Killian, Red Bank, South Congaree, Edmund, Gilbert,
Summit, Gaston, Hopkins, Capitol View, Horrel Hill, Fort Jackson,
Pontiac, Elgin, Blythewood, Camden, Richtex, Whitehall, White Rock,
Sumter, Lugoff, Boykin, Rembert, Hagood, Horatio, Stateburg,
Borden, Wedgefield, Oswego, Gadsden, Fort Motte, St. Matthews,
Swansea, Woodford, Winnsboro, Pelion, Steedman, Samaria,
Monetta, Batesburg-Leesville, Stoney Hill, Prosperity, Newberry, Peak,
Little Mountain, Slighs, Pomaria, Jenkinsville, Rion, Winnsboro Mills,
Simpson, Smallwood, Ridgeway, Orangeburg, Lexington County,
Fairfield County, Calhoun County, Sumter County, Kershaw County,
Saluda County, and Richland County, SC. We can also offer
inexpensive South Carolina small group health insurance coverage
quotes to your small business located anywhere in the Palmetto state,
including in Florence, Greenville, Spartanburg, Myrtle Beach, and
Charleston, SC.
South Carolina Business Information:
Your South Carolina
Group Health Insurance
Quote Source
Russell-Massey & Co.
1320 Elmwood Avenue
Columbia, SC 29201
Richland County, SC
Toll Free: (800) 849-7475
Office: (803) 779-7854
Fax: (803) 799-6546
Russell-Massey & Co.
409 Lexington Avenue
Chapin, SC 29036
Lexington County, SC
Office: (803) 941-3650
Fax: (803) 941-3654
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General Insurance
South Carolina Group Health
Insurance Coverage Quote!
800-849-7475 toll free
Serving South Carolina Since 1955
Richland County & Lexington County, SC Area
We can offer affordable South Carolina Group Health Insurance quotes
for your Columbia, SC, Richland County, and Lexington County small business!