Walter Parenti and Ester Viti are Registered Representatives of Equity Services, Inc. and offer securities in Illinois. They are also insurance-licensed in Illinois. Securities are offered solely by Equity Services, Inc., Member FINRA/SIPC, Registered Broker/Dealer, 19 South LaSalle Street, Chicago, IL 60603 (312) 236-2500 Viti Financial, Guy Viti Insurance and all other entities and individuals referenced are independent of Equity Services, Inc. unless otherwise noted.

Renewals Download, print, and fill out the form below. Mail or fax the completed form to Viti Financial Services. Group health census (25 KB PDF) Questions? Contact Viti Financial Services P.O. Box 699 Highwood, IL 60040 Phone: 847-432-8484 Fax: 847-433-2858 Email: info@guyviti.com Employee Enrollment Download, print, and fill out the appropriate form(s) from the links below. Mail or fax the completed form(s) to Viti Financial Services. Humana Blue Cross Aetna Questions? Contact Viti Financial Services P.O. Box 699 Highwood, IL 60040 Phone: 847-432-8484 Fax: 847-433-2858 Email: info@guyviti.com Claims Option one Call your insurance carrier. Provide them with your policy number and social security number. or Option two Fax your Explanation of Benefits and question to Viti Financial Services at 847-433-2858. Questions? Contact Viti Financial Services P.O. Box 699 Highwood, IL 60040 Phone: 847-432-8484 Fax: 847-433-2858 Email: info@guyviti.com ID Cards Questions? Contact Please provide name, social security number, policy number, and name of employer. Be sure to indicate how many sets of ID cards (medical, prescription, and dental) you need. Viti Financial Services P.O. Box 699 Highwood, IL 60040 Phone: 847-432-8484 Fax: 847-433-2858 Email: info@guyviti.com COBRA / State Continuation Illinois Insurance Facts: Health Insurance Continuation Rights—COBRA http://www.idfpr.com/doi/HealthInsurance/continueCobra.asp Download, print, and fill out the Humana continuation of medical/dental benefits election form (74 KB PDF). Mail or fax the completed form to Viti Financial Services. Questions? Contact Viti Financial Services P.O. Box 699 Highwood, IL 60040 Phone: 847-432-8484 Fax: 847-433-2858 Email: info@guyviti.com Quotes Download, print, and fill out the form below. Mail or fax the completed form to Viti Financial Services. Group health census (40 KB PDF) Questions? Contact Viti Financial Services P.O. Box 699 Highwood, IL 60040 Phone: 847-432-8484 Fax: 847-433-2858 Email: info@guyviti.com Servicing Questions? Contact Viti Financial Services P.O. Box 699 Highwood, IL 60040 Phone: 847-432-8484 Fax: 847-433-2858 Email: info@guyviti.com Billing Questions? Contact Viti Financial Services P.O. Box 699 Highwood, IL 60040 Phone: 847-432-8484 Fax: 847-433-2858 Email: info@guyviti.com Group Benefits Medical/Dental/Life | Disability | Long Term Care Individual Benefits Medical/Dental | Life/Disability | Long Term Care | Medicare Supplement Financial Services IRAs | Annuities | Estate Planning | Executive Benefits Pension Services | Contact Us Guy Viti Insurance Agency All content copyright © 2004 Guy Viti Insurance Agency