JIA Brokerage Services  

Independent Insurance Broker

Hawley Building
1231-B State Street, Santa Barbara, CA 93101
Phone: (805) 962-2277   Toll Free: (888) 592-2277
Fax: (805) 962-9928

   
 
 
           
           
           
       
 
 

FORMS AND DOCUMENTS

 

 

This Web-Site Section was designed for both the Employer and Employee to find the necessary forms or documents here.

 

  • Looking for Forms or Documents?
  • Looking for Summary of Benefits for your plan?
  • Need an Application, Change or Enrollment Form?
  • Need an Employer Form to terminate Employees?
  • Need Employer Tax Benefit Advantages information?
  • Need a Claim Form?

 

You should be able to find it here.

 

Click on your Insurance Carrier or Insurance Coverage Type.

Sub-folders may show Individual, Small Group or Large Group.

 

If you have questions or need further information, please contact us by clicking on the E-Mail icon in the left column of this screen or call us.