Data Required for Feasibility Study
Copies of Group Life and Health Insurance Booklets
Copies of Current Group Insurance Billings
Employee Census to Include: o Name o Gender o Marital Status o Number of Dependent Children o Date of Birth o Date of Hire
o Name
o Gender
o Marital Status
o Number of Dependent Children
o Date of Birth
o Date of Hire
Tommy Lee Harris Tommy Lee Harris & Associates PO Box 20337, Portland, OR 97294 4110 NE 122nd Avenue, Suite 100, Portland, OR 97230 503-706-8179 503-826-8106 fax harristommy@msn.com tommy@tommyleeharris.com www.tommyleeharris.com