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Southern California Minority Business Development Council (SCMBDC)
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Certification
MBE Health Insurance Program
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Corporate Plus Program
Conference Room Rental

"About 50% of our customer contacts were made through networking with the SCMBDC over the years. Companies such as American Honda, Toyota, ARCO, Northrop, Verizon, Pac Bell, and Raytheon... SCMBDC has been a great help when I needed to get to the ‘right person.’ Their referrals have opened many doors for me as a salesperson."
Helen James,
Premier Products & Promotions, Inc.

Click here to read more testimonials
Home > Programs & Services > MBE Health Insurance Program > Inquiry Form

MBE Health Insurance Program Inquiry Form

Thank you for inquiring about the MBE Health Insurance Program. Please fill out the form below and submit the information to us. The information you will be submitting is needed to expedite the inquiry process to help Insurance Clerk make the best health insurance suggestions possible.

Rest assured that the information you are submitting to us is being transmitted through a secure connection to SCMBDC.

First Name:
Last Name:
Title:
Company Name:
Address 1:
Address 2:
City:
State:
Zip:
Phone:
Your Name
(if different than owner):
 Check here if you are the owner
Your Title (if different than owner):
Your Contact Number :
Fax:
E-mail:
Web Site:
# of Employees:
# of Employees in the State of California:
Minority Certifications:

NAICS Codes:
Click to add NAICS codes

Open Enrollment Period:
How did you hear about the MBE Health Insurance Program?
 
 
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An affiliate regional council of National Minority Supplier Development Council, Inc. (NMSDC)
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