McLain, Pierce & Associates

McLain, Pierce & Associates, Inc.
Service with Integrity..

Florida's Insurance Network!


P.O. Box 1419
Sanford, FL 32772
Phone: (407) 323--8142
Toll Free: (800) 330-3562
Email: mcp@insurefl.com
Website: insurefl.com


Welcome!


   Contact Us
General Information:  
Company Name
Address
City
State
ZIP
Telephone Number
Fax Number
E-Mail Address
Questions or Comments
Group Health:  
# Employees
Renewal/Requested Effective Date
Do They Have Current Coverage?
Yes No
Insurer
Plan Design
HMO
PPO
Don’t Know
Individual Health:  
Date Of Birth
Sex
Smoker
Yes No
Do They Have Current Coverage?
Yes No
If Yes With Who?
Height   Weight  
Spouse
Date Of Birth
Child
Date Of Birth
Child
Date Of Birth
Child
Date Of Birth
Workman’s Comp:  
Insured With
Estimated Annual Payroll
Number Of Employees
Renewal Date
Type Of Business
Life:  
Date Of Birth
Sex
Smoker
Yes No
Face Amount
Any Medical Conditions?
Height   Weight  
   
 
Welcome to Florida's Insurance Network!
Mailing Address:
P.O. Box 1419
Sanford, FL 32772
Telephone Number:
800-330-3562

 

 

 

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Copyright © 2006 by McLain, Pierce & Associates. All rights reserved.