Online Request: Standard Group Insurance Vast-Auto Program Online Request : Standard Group Insurance Legal company name Name and surname of person in charge Telephone Email Number of employees (permanent employees working more than 24 hours a week) Do you offer a group insurance program to your employees? Yes No When is the best time to contact you? between 8 A.M. and 12 P.M. between 12 P.M. and 2 P.M. between 2 P.M. and 5 P.M. After 5 P.M. Additional information (optional) By submitting this form, you consent to the collection, use and retention of your personal information by Lussier and authorize Lussier to contact you to provide a quote for our group insurance program.
