Employee Benefits Specialists Illinois - Benefits Age

Benefits Age is committed to providing comprehensive and quality service. There are several ways to reach us: You can get in touch with us by e-mail, postal mail or you may telephone us during office hours, Monday - Friday, 9 am to 5 pm, Central Standard Time.

Corporate Address:	Benefits Age 4811 Emerson, Suite 103 Palatine, IL 60107
E-mail:	General Information
Phone Number:	847-397-5300
Toll Free:	800-317-0181
Fax:	847-397-5304

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To request a quote or to send us a message now, please use the following form:

Full Name:*
Business Name:
Address:*
City:*
State or Province:*
Postal Code:*
Telephone Number:*
Fax Number:
E-Mail Address: *
Web Site Address (if any)
Preferred Method of Contact:	Phone Email
Type of Business:
Number of Employees:
Expiration Date of Current Insurance:
Present Insurance Company:
Types of Products Desired Please check all that apply:
Group Health
Group Life
Disability
Dental
Vision
Other
Please give us a detailed description of any questions or comments that you may have:
* For security, please enter today's date below in this format: MM-DD-YY
	(Example: 2-19-08 *Must contain hyphens)
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