Required Information
To receive a quote, please provide as much of the following information as possible to Superior Vision Services or to your Regional Sales Representative.
- Name of Company, address and phone number
- SIC code or type of industry
- Effective date
- Census - Age, DOB, Gender, Dependent Status
- Geographical locations of employees - Zip Codes
- Prior vision coverage plan design, rates and years covered
- Proposed vision plan design(s)
- Employer contribution level for employees and dependents
- Current vision plan participation level for employees and dependents
- Claims history and experience
- Broker/Consultant information
Mail, fax or e-Mail this information to:
Superior Vision Services, Inc.
c/o Quote Request
1855 W. Katella Ave., Suite 100
Orange, CA 92867
Tel: 800.923.6766
Tel: 714.633.3411
Fax: 714.633.2320
e-Mail: Quotes@superiorvision.com or
RFP@superiorvision.com or
Renewals@superiorvision.com
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