MCS, An Employee Benefit Solutions Company

Thursday, November 20, 2008 5:14:34 PM Site Map

PDN Request for Proposal

Required fields are indicated with an asterisk *

Marketing and Sales Contact: Susan Aborn

Phone: 617-471-4100 Ext. 340

Fax: 617-471-6323


	*First Name:
	*Last Name:
	*Company:
	*# of Employees:
	*Phone #:
	*Email Address:
	Who Are You?
	Employer Benefits Professional
	Dental Health Benefit Consultant
	Insurance Broker
	Does the company offer a dental benefit to its employees?
	Yes No
	If Yes, then:		If No, then:
	Type of Plan Currently Offered:		What type of dental benefits plan are you interested in?
	Traditional Indemnity		Traditional Indemnity
	Preferred Provider		Preferred Provider
	Dental HMO		Dental HMO
	Is this plan voluntary or does the company contribute?		How soon would you like your program in place?
	Voluntary		Date:
	Employer pays all		How soon do you need a formal bid response?
	Employer/Employee contribution		Date:
	When does the current contract expire? Date:
	Who is current carrier? Name:
	Why are you looking for a new dental benefits carrier? (check all that apply) Dissatisfied with service More plans options needed Company policy to re-bid Better cost/value Larger network needed Other
	How soon will you need a formal bid response? Date:

For User ID's and Passwords

Call 1-888-225-0522 Ext. 1278

Corporate Headquarters
RMSCO, Inc.
111 Continuum Drive
Liverpool, NY 13088
315-448-9000
Fax: 315-476-8440

Operations/Sales
1 Wall Street, Suite 2A
Ravenswood, WV 26164
888-225-0522
Fax: 304-273-4756

Eastern Benefit Systems
111 Northfield Avenue
Suite 306
West Orange, NJ 07052
800-772-3610
Fax: 973-676-6794