Let Us
Days Hours Minutes Seconds
What We Do
Integrated Solutions
Who We Are
FAQ
Contact Us
Census Request
Census Request “Sample”
Census Request
On each employee and each dependent, we will need the following.
-
- Date of Birth
- Gender (male or female)
- Zip Code of Residence and Work (only need work zip for employees, not dependents)
- Whether they are a tobacco user or not
If they are part-time, we do not need dependent information.
Please remember that we need this information for all insureds, including dependents. The census also needs to
include part-time employees, even though they are not eligible for coverage, as well as employees who have declined due to other coverage.
In addition to the census, we also need your current carrier (if any), and a copy of your current rates and benefits.
Census Request “Sample”
[table id=5 /]
Get Ready Set GO!!!
Let Commercial Benefit Services, LLC. give you a quote this year.