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Name(Required)

First name Last name

Email(Required)

Company(Required)

Submissions received (New Business) - monthly(Required)

Total # of Quotes - Monthly(Required)

Total # of Policies Bound - Monthly(Required)

Bind Rate %

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Average Monthly Premium / Policy(Required)

# FTE(Required)

Annual Payroll Cost(Required)

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Avg. FTE Cost

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Cost/Submission

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Time/Submission

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Increased Bind Ratio improvement

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Increased Bind Ratio benefits

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Increased Submission Capacity improvement

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Increased Submission Capacity benefits

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Improved efficiency improvement

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Improved efficiency benefits

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Sum of benefits

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Cost with convr