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TurnerLove Insurance, LLC
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Intake form
Help Us Serve You Better
Name
*
Email address
*
What services are you interested in?
Please select at least one option.
Medical
Dental
Vision
Individual Life Insurance
Short-Term Disability
Long Term Disability
Long-Term Care
Accident Coverage
Critical Illness
Cancer Insurance
Executive Compensation
Business Continuity Planning
What is the size of your company?
Select
1-10 employees
11-50 employees
51-200 employees
201-500 employees
501+ employees
What is your primary industry?
Select
Healthcare
Technology
Manufacturing
Retail
Finance
Education
Other
Do you currently offer any employee benefits?
Select
Yes
No
What are your primary goals for employee benefits?
Please select at least one option.
Attract talent
Retain employees
Increase employee satisfaction
Enhance productivity
Stay competitive in industry
What type of executive compensation strategies are you interested in?
Please select at least one option.
Golden Handcuffs
Key Person Coverage
Non Qualified Deferred Compensation
Executive Bonus Plan
What is your preferred method of communication?
Select
Email
Phone
In-Person
Do you have any specific questions or concerns regarding insurance benefits?
Which service or services are you interested in?
Please select at least one option.
Worksite Benefits
Long-Term Disability Insurance (Own Occupation)
Executive Compensation Strategies
Business Continuity Planning
Individual Plans
Additional questions or comments
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