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Employee Enrollment Change Form

Harmon Insurance Brokerage (HIB), located in Zanesville, Ohio was founded in 1980. Harmon Insurance Brokerage has assisted in procuring & servicing the complete insurance needs of government entities, businesses, families and individuals throughout Eastern & Southeastern Ohio.

Harmon Insurance Brokerage has developed an excellent reputation in the group health and employee benefits marketplace. As an independent agency, we can provide the best combination of benefits and premium through a fully insured or self-funded plan depending upon the specific needs and desires of each client.

Harmon Insurance Brokerage relies on our conscientious and knowledgeable staff to provide superior service to each of our clients.

Corporate Office

Address

1292 Linden Ave
Zanesville, OH 43701
- Weekdays
  
  8:30am–5:00pm
- Weekends
  
  Closed
Email Us

admin@harmoninsurancebrokerage.com
Phone

(740) 454-1203

Ohio Employer Questionnaire

Employer Enrollment Application

Employee Enrollment Application

Employee Change Form

Employer Application

Enrollment Form

PPO Enrollment Form

HMO Enrollment Form

Employee Enrollment Change Form