


How to Enroll
Example: Total Volume of Insurance divided by 1000 X $1.024 X 8% PST = Premium
Eg. 10 employees electing $25,000 coverage each
Total Volume of Insurance - 10 X 25,000 = $250,000 divided by 1000
Monthly premium calculation is 250 X $1.024 X 8% = $276.48
Please include a cheque marked VOID for banking purposes.
Mail the completed forms and payment to:
GARY WHITE INSURANCE
ATTN: Gary White
4060 Ridgeway Drive, Unit 19
Mississauga, ON L5L 5X9
© 2009 Gary White Insurance