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
24012 Calle de la Plata, Ste. 470
Laguna Hills, CA 92653
949-461-3300
949-461-3311 Fax
800-923-6766 x123, x126, x129
e-Mail: Quotes@superiorvision.com or
RFP@superiorvision.com or
Renewals@superiorvision.com
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