• Employee Census Form (MS Excel/78kb) This document can be opened with Microsoft Excel 2003/2007 or OpenOffice

To process form, please dowload (right-click/PC or option-click/Mac,
and choose “Save Target As...”) the PDF file at the link above, and print it out.
Complete the form, and fax it to Kym at 570.366.2950. You can also e-mail this document to

Elizabeth Barrineau

The professionals at Seltzer Insurance have helped companies of all sizes administer their group benefit programs. Whatever your company’s needs may be, Seltzer Insurance can help to create a benefits program that ensures that you and your employees receive the best value for your benefits dollar.

Our approach is one that includes:

• Plan Design — managed health plan and flexible benefit plans
• Renewal coordination
• Conduct annual market review/bid process
• Funding method review and analysis
• Employee contribution strategies
• Provide ongoing assistance in resolving administrative & billing issues
• Technical Guidance
• HR That Works
• Compliance services
• Employee Voluntary Programs
• Employee Meetings and Communications
• Customized Newsletters

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