Thank You for Your Application - Salt Lake City Insurance Agents

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ARK Insurance Solutions
655 East 4500 South, Ste 210
Salt Lake City, UT 84107

Phone: 801-901-7800
Fax: 801-305-4947
Email: info@ark-ins.com

Name(Required)

First Last

Email(Required)

Phone(Required)

Company Name

One of our agents will reach out to you soon. So that we can provide you with the most relevant info, please answer a few additional questions?

Does your company currently offer any type of health insurance?(Required)

Yes

STEP 1 OF 4

How soon do you want to consider making a change to your insurance benefits?

Within 30 days

30-60 days

60-90 days

Not sure. Sometime in the future.

How soon do you want to begin providing insurance benefits?

Within 30 days

30-60 days

60-90 days

Not sure. Sometime in the future.

STEP 2 OF 4

What are the biggest reasons you are interested in providing insurance benefits?(Required)

To make sure employees have coverage for major health events

To recruit and retain the best employees

To avoid penalties (A.C.A.)

To comply with contracts

STEP 3 OF 4

How many full-time (30+ hours/week) employees do you have?(Required)

STEP 4 OF 4

Name

This field is for validation purposes and should be left unchanged.