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Product Guide
Accident and Sickness Insurance
Group Plans

To receive an Accident & Sickness insurance quotation for your organization please complete our Request for Quotation form at the link below:

Submit a Claims question

Mail completed forms to:
Summit America Insurance Services
7400 College Boulevard, Suite100
Overland Park, KS 66210

Or fax to:
913-327-0201

Accident & Sickness Insurance Request for Quotation Form (128K PDF)* • download now
For more information
on Group Plans, please contact
Krista Stanek
800-775-8089
Lesley Gagnon
800-955-1991 Ext. 106
* PDFs require Adobe Reader v.6.0 or later.
(Enterable PDF forms can be filled out electronically.
Data entered electronically CANNOT be saved.
To keep a copy, please print your completed form.)
Summit America Insurance | info@summitamerica-ins.com Copyright 2007 Summit America Insurance Services, LC
Overland Park Office
7400 College Boulevard, Suite 100
Overland Park, KS 66210
1-800-955-1991		 Salt Lake City Office
2180 South 1300 East, Suite 520,
Salt Lake City, UT 84106
1-800-955-1991 ext. 198		 All Rights Reserved. Terms of use