Give us the opportunity to earn your business by completing our very short form. With no cost or obligation to you, a member of our courteous and professional staff will contact you.

For Groups of 2 or more or for General Questions, complete the form on this page.

For individuals located in Georgia, if you are seeking health insurance click to this page and complete the appropriate forms.

For individuals outside of Georgia, if you are seeking health insurance click to this site and complete their form. A local agent will then contact you!

Complete this form for Groups of 2+ or for General Requests

First Name:	*
Last Name:	*
Business Name:
Your Title:
Address 1:	*
Address 2:
City, State, Zip:	* State: AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NB NC NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY * Zip: *
Day Time phone:	*
Email:	*
How Many in your Group? Just Me My Family We have Less than 10 Between 11 - 50 Between 51 - 100 Between 101 and 500 A massive amount of people....(more than 500) *

Check each Box that you wish information:

Health Insurance:		A Cafeteria Plans:
Life Insurance:		Benefit Communications:
Disability Insurance:		Voluntary Benefits:
Dental Insurance:		(Flexible Spending Accounts:
Long Term Care Insurance:		One-Bill System:
Pre-Paid Legal Plans:		Online Benefits:
Dependent Health Care:		401K Plans:

 

Please give any details of the benefits or services you may be seeking:

First Benefits, Inc. Atlanta, GA, Sales Office 3827 Roswell Road, Bld. 100 Marietta, GA. 30062 (800) 825-7605 (770) 643-4800 (770) 643-4870 fax sales@1stbenefits.com

First Benefits, Inc. Macon, GA- Home Office 3783 Vineville Road Macon, GA. 31204 (800) 715-7021 (478) 475-9555 (478) 475-5222 fax info@1stbenefits.com

Contact us today to learn how we can help you!

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800) 715-7021