Request for Proposal Please complete the Request for Proposal form as well as attach available supplemental documents outlined in the Request for Proposal Instructions section of the form.

Census To provide coverage, we will need a complete census of all eligible employees. Census must include date of birth (or age), gender, occupation, salary/wage, and type of current coverage (single, spouse, child(ren), family, or waived). If part-time or non-eligible employees are included, please indicate them as such. Individual identifiable information is not necessary. If possible please submit the information electronically in any format it can easily be extracted. If census information is not available electronically, you may use the pdf form to the left of this text.

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If you would like to receive a quotation to join the Employee Benefit Trust and obtain coverage, please print, complete, and submit the request for proposal forms to:

Christian Brothers Employee Benefit Services
Attn: Underwriting Department
1205 Windham Parkway
Romeoville, IL 60446
Fax: 630.226.2186

If you would like to speak with a representative or need assistance in completing these forms, please contact any of the following:

John Airola
Managing Director
1205 Windham Parkway
Romeoville , IL 60446.1694
Phone: 800.807.0100 Ext. 2450
Fax: 630.226.2169
John_Airola@cbservices.org

Jim Adam
Senior Benefit Consultant (Western US)
Phone 800.807.0100 Ext. 3011
Fax 630.679.5118
Jim_Adam@cbservices.org

Susanne Anderson
Senior Benefit Consultant (Central US)
Phone 800.807.0100 Ext. 3043
Fax 630.679.5159
Susanne_Anderson@cbservices.org

Kristine Walker
Senior Benefit Consultant (Eastern US)
Phone 800.807.0100 Ext. 3044
Fax: 630.679.5142
Kristine_Walker@cbservices.org