If you are an employer in Retail Grocery, Hardware, or in-store Pharmacy and have three or more eligible employees, you qualify to participate in our Trust.
To learn about your options and cost to participate simply complete the information below.
Three Ways To Submit Your Request for a Quote:
- Complete this form on-line
- Print this form and fax it to us at (503)-968-2817
- Print this form and mail it to us
Here is the information we need to prepare your quote: