If you have any questions about your benefit plans, please don't hesitate to or call Kristen Garry at 267.794.3010.

To learn more about Gallagher Benefit Services visit tccgroup.com.

To learn more about the Cultural Alliance visit philaculture.org

Aia Philadelphia 2007 rate request

This form should be completed if you are interested in a full benefits package.

  • Please complete this form in its entirety as there is no way to stop and complete the information later.
  • Only check off one selection in each step.
  • If you would like to see rates for multiple plan options, you will need to complete the Rate Request form for each plan you would like to see.
  • Groups with fewer than 10 employees can offer up to two plan options, one Keystone and one Personal Choice.
  • Groups with 10 or more employees can offer up to three plan options, no more than two from each carrier, Keystone vs. Personal Choice.
  • Sole proprietors and groups with one employee enrolling in the benefits can enroll in the Keystone HMO C3F4 with $20/40/60 Rx Plan only. You will have to be able to prove business ownership with either a UC2A report or a Schedule C.









If you have any questions about the Greater Philadelphia Cultural Alliance benefit plans, please feel free to contact Kristen Garry at 267.794.3010 or email her at .