Sean Mullen
303-925-0855
sean@ccfs.net

Cherry Creek Financial Services
9457 S. University Blvd., Suite 103
Highlands Ranch, CO 80126


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Company and Contact Information

Your Company Name

Company Zipcode

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Contact Name

Phone Number

Email Address

Company Contribution Strategy

Select your Company Contribution Strategy, Don't worry we can adjust this later at any time.
Generous: (Employer pays 80% of Highest Silver Plan for Employee and Dependents).
Good with Family members: (Employer pays 70% of Lowest Silver Plan for Employee Only and 40% for Dependents).
Good, Employee Only: (Employer pays 70% of Lowest Silver Plan for Employee Only).
Medium: (Employer pays 50% of Lowest Bronze Plan for Employee Only's).
Low: (Employer pays 10% of Lowest Bronze Plan for Employee Only, May allow some older and lower paid employees to go to the Exchange for Tax Credits).
Lump Amount, Family: (Employer pays up to a single amount for each Family). $/m
Lump Amount, Employee Only: (Employer pays up to a single amount for each Employee Only). $/m

Census Information

Do you already have a Census? We can upload it for you? Just use one of the email address above to send it to us.YesNo
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Zip Code
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Date of Birth
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Spouse
Date of Birth
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Child 1
Date of Birth
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Child 2
Date of Birth
(mm/dd/yyyy)
Child 3
Date of Birth
(mm/dd/yyyy)
Child 4
Date of Birth
(mm/dd/yyyy)
Child 5
Date of Birth
(mm/dd/yyyy)
Child 6
Date of Birth
(mm/dd/yyyy)
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