Thank you for your interest in KBM Management, Inc. To contact us at anytime, please fill out and submit the form below, or use any of the listed forms of contact at the bottom of this page. Name E-mail Address Title Company Address City State Zip Code Phone Fax Check the area/s of interest below: Employee Health Benefits Workers’ Compensation Property/Casualty Liability Check the service of interest below: Feasibility Study Plan Management Services Claim Management Audits Renewal Negotiation Enrollment/Billing Agents/Brokers Assistance Other (please specify)... Comments: e-mail... Solutions@KBMemail.com address... KBM Management, Inc. 5860 Heritage Landing Drive East Syracuse, New York 13057 phone / fax... 800.653.8305 / 315.449-3115

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