Additional Information Needed

Please attach census with this submission. Please provide: date of birth, sex, coverage (Single, Ee & Sp, Ee & Ch, Family). We do not need a name or Social Security number. Please attach the current month's billing of the major medical carrier with this submission. Please call us with any questions at 601.353.0002, ask for the Proposals Department. You can also email us at proposals@ebsincms.com