Employee Proposal

Please fill out the form below, selecting which product(s) you would like to receive a quote on, and an OMNI Group, LLC representative will contact you as soon as possible.



Contact Info  (All Fields Required)
Contact Name:
City and State:
Telephone:
Best Time to Call:
E-mail:

Yes! I would like a proposal on:

Employee Coverage
 401k Retirement Plans  Estate Planning  Individual Dental Insurance
 ID Theft Assist  Individual Disability Insurance  Individual Health Savings Accounts
 Individual Major Medical  Individual Term Life Insurance  Long Term Care Plan
 Medicare Supplement  Retirement Planning  Tax Favored College Funding Plan
 Universal Life Insurance