Employee Benefits
Form Request

The Approach
Hanks Insurance Group, Inc. is an independent agency with no exclusive responsibilities to any company.
When the agency is given the opportunity to provide a proposal for an employee benefits plan, many companies are asked to provide quotes.
When quotes are received , they are analyzed by Dock Hanks, CIC or Mark Head, President of MDH Benefits. After the analysis, one or two quotes will be chosen for presentation to the employer.
Dock and Mark offer over 45 years of experience to any employer that utilizes their services.
Hanks Insurance provides a marketing service, quote analysis and consultation for employers in the purchasing process.
Once the decision is made and Hank Insurance Group has been chosen to provide employee benefits, service and consultation are always available.

Hanks Insurance Group, Inc.
Since 1968, Dock Hanks, CIC has written employee benefits for businesses and governmental entities.
This experience with employee benefits can become an asset for your company or entity and result in improved communication and relations with employees, companies and service providers.
Mark Head and MDH Benefits Corporation provide that extra measure of expertise and success that guarantee the best service and advice available to employee benefit clients of Hanks Insurance Group, Inc.

Please fill in the following for more information.

Name (First Named Insured & Other Named Insured)

Phone:

Mailing Address (of First Named Insured)

Address Line 1:
Address Line 2:
City:
State:
Zip Code:

Business Type

Individual Partnership
Corporation Joint Venture
Subchapter "S" Corporation Limited Corporation
Not-for-Profit Organization Other (Please Specify)

Business Information

Years in business:

Inspection Contact:
Phone Number (Area Code, Number, and ext.):
Fax Number:
E-mail Address:

Accounting Records Contact:
Phone Number (Area Code, Number, and ext.):
Fax Number:
E-mail Address:

Nature of Business:

Please click specific coverages for a quotes:

Employee Benefits Plans

As small as 3 employees
As large as necessary

To Provide:

Employee and Dependent Health Employee and Dependent Life
Employee Disability Special Company Life Insurance Plan(Key Man, Funded Buy-Sell, etc.)
Retirement Plans Cafeteria Plans
Other Specialties as required.