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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
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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.
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