$14.95

per emp./per mo.

 

3 Easy Enrollment Steps:

 

1. Download and complete the "Employer List Bill Agreement" form.

 

 

2. Send us your employee enrollment data in 1 of 3 ways:

 

 

 

 

 

3. Submit this information via email or fax to SouthGroup.

 

4. That's it! You and your group are on the way to 24/7/365 medical access!

>>  LIST BILL AGREEMENT <<

>>  Employee Enrollment CENSUS <<

>>  Employee Information - Employer Paid <<

>>  Employee Information - Payroll Deduction <<

For questions or more information please contact us today:

 

 946 Goodman Road E.   I   PO Box 288   I   Southaven, MS 38671

662 349 2021   office   I   662 349 2920   fax

Email: Telamed@SouthGroup.net