Request a Quote

For all quote requests, please submit the following information.

A census of employees including:
   Employee Name
   Date of Birth
   Gender
   Salary (if benefits are salary based)
   Class (if benefits are class based)
   Occupation

Group Name

City and State where contract will be issued

Specific nature of business

A list of benefits requested

This information can be e-mailed to info@siriusbenefits.com or can be faxed to 440.505.4124.

For any further questions, you can e-mail us at the same address or call us at 877.VOL-BENS.