www.mutuellecollective.net
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149.202.44.228
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URL:
https://www.mutuellecollective.net/
Submission: On February 22 via automatic, source certstream-suspicious — Scanned from FR
Submission: On February 22 via automatic, source certstream-suspicious — Scanned from FR
Form analysis 1 forms found in the DOM
POST /#quform-1f4b77
<form id="quform-form-1f4b77" class="quform-form quform-form-4" action="/#quform-1f4b77" method="post" enctype="multipart/form-data" novalidate="novalidate"
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<button class="quform-default-submit" name="quform_submit" type="submit" value="submit"></button>
<div class="quform-form-inner quform-form-inner-4"><input type="hidden" name="quform_form_id" value="4"><input type="hidden" name="quform_form_uid" value="1f4b77"><input type="hidden" name="quform_count" value="1"><input type="hidden"
name="form_url" value="https://www.mutuellecollective.net/"><input type="hidden" name="referring_url" value=""><input type="hidden" name="post_id" value="2"><input type="hidden" name="post_title" value="Mutuelle Collective"><input type="hidden"
name="quform_current_page_id" value="32"><input type="hidden" name="quform_csrf_token" value="J12qrNuBii3qAzvdsFeFcf1hje8ymOz7XKOAa9T2">
<div class="quform-elements quform-elements-4 quform-cf quform-responsive-elements-phone-landscape">
<div class="quform-page-progress quform-page-progress-type-percentage">
<div class="quform-page-progress-bar" style="width: 50%;"><span class="quform-page-progress-text"><span class="quform-page-progress-percentage">50</span>%</span></div>
</div>
<div class="quform-element quform-element-page quform-page-32 quform-page-4_32 quform-cf quform-group-style-bordered quform-first-page quform-current-page">
<div class="quform-page-title-description">
<h3 class="quform-page-title">Vos Salariés</h3>
</div>
<div class="quform-child-elements">
<div class="quform-element quform-element-select quform-element-4_86 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-4_86"><label class="quform-label-text" for="quform_4_86_1f4b77">Disposez-vous d'un convention collective ?<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-select quform-inner-4_86">
<div class="quform-input quform-input-select quform-input-4_86 quform-cf"><select id="quform_4_86_1f4b77" name="quform_4_86"
class="quform-field quform-field-select quform-field-4_86 quform-field-select-enhanced select2-hidden-accessible"
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<option value="" selected="selected" data-select2-id="2">Veuillez sélectionner</option>
<option value="Non">Non</option>
<option value="Coiffure (IDDC:2196)">Coiffure (IDDC:2196)</option>
<option value="Laboratoire (IDDC:959)">Laboratoire (IDDC:959)</option>
<option value="Vétérinaires (IDDC:1875)">Vétérinaires (IDDC:1875)</option>
<option value="Expert-Comptable (IDDC:787)">Expert-Comptable (IDDC:787)</option>
<option value="Transport(IDDC:16)">Transport(IDDC:16)</option>
<option value="Immobilier (IDDC:1527)">Immobilier (IDDC:1527)</option>
<option value="Restauration Rapide (IDDC:1501)">Restauration Rapide (IDDC:1501)</option>
<option value="Syntec Bureaux d'Etude, Sociétés de Conseil (IDDC:1486)">Syntec Bureaux d'Etude, Sociétés de Conseil (IDDC:1486)</option>
<option value="Hotel Cafés Restaurant (IDDC:1979)">Hotel Cafés Restaurant (IDDC:1979)</option>
<option value="Autre Convention">Autre Convention</option>
</select><span class="select2 select2-container select2-container--quform" dir="ltr" data-select2-id="1" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-quform_4_86_1f4b77-container"><span class="select2-selection__rendered" id="select2-quform_4_86_1f4b77-container" role="textbox"
aria-readonly="true" title="Veuillez sélectionner">Veuillez sélectionner</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper"
aria-hidden="true"></span></span></div>
</div>
</div>
</div>
<div class="quform-element quform-element-group quform-element-4_62 quform-cf quform-group-style-plain">
<div class="quform-spacer">
<div class="quform-group-title-description">
<h3 class="quform-group-title"><b>Salarié Non-Cadre</b></h3>
</div>
<div class="quform-child-elements">
<div class="quform-element quform-element-row quform-element-row-4_70 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape">
<div class="quform-element quform-element-column quform-element-4_71">
<div class="quform-element quform-element-select quform-element-4_90 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-4_90"><label class="quform-label-text" for="quform_4_90_1f4b77">Nombre de salarié<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-select quform-inner-4_90 quform-field-size-slim">
<div class="quform-input quform-input-select quform-input-4_90 quform-cf"><select id="quform_4_90_1f4b77" name="quform_4_90"
class="quform-field quform-field-select quform-field-4_90 quform-field-select-enhanced select2-hidden-accessible"
data-options="{"rtl":false,"search":false,"noResultsFound":"Aucun r\u00e9sultat."}" style="width: 100%;" data-select2-id="quform_4_90_1f4b77" tabindex="-1" aria-hidden="true">
<option value="" selected="selected" data-select2-id="4">Veuillez sélectionner</option>
<option value="Aucun">Aucun</option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
<option value="32">32</option>
<option value="33">33</option>
<option value="34">34</option>
<option value="35">35</option>
<option value="36">36</option>
<option value="37">37</option>
<option value="38">38</option>
<option value="39">39</option>
<option value="40">40</option>
<option value="41">41</option>
<option value="42">42</option>
<option value="43">43</option>
<option value="44">44</option>
<option value="45">45</option>
<option value="46">46</option>
<option value="47">47</option>
<option value="48">48</option>
<option value="49">49</option>
<option value="50">50</option>
<option value="51">51</option>
<option value="52">52</option>
<option value="53">53</option>
<option value="54">54</option>
<option value="55">55</option>
<option value="56">56</option>
<option value="57">57</option>
<option value="58">58</option>
<option value="59">59</option>
<option value="60">60</option>
<option value="61">61</option>
<option value="62">62</option>
<option value="63">63</option>
<option value="64">64</option>
<option value="65">65</option>
<option value="66">66</option>
<option value="67">67</option>
<option value="68">68</option>
<option value="69">69</option>
<option value="70">70</option>
<option value="71">71</option>
<option value="72">72</option>
<option value="73">73</option>
<option value="74">74</option>
<option value="75">75</option>
<option value="76">76</option>
<option value="77">77</option>
<option value="78">78</option>
<option value="79">79</option>
<option value="80">80</option>
<option value="81">81</option>
<option value="82">82</option>
<option value="83">83</option>
<option value="84">84</option>
<option value="85">85</option>
<option value="86">86</option>
<option value="87">87</option>
<option value="88">88</option>
<option value="89">89</option>
<option value="90">90</option>
<option value="91">91</option>
<option value="92">92</option>
<option value="93">93</option>
<option value="94">94</option>
<option value="95">95</option>
<option value="96">96</option>
<option value="97">97</option>
<option value="98">98</option>
<option value="99">99</option>
<option value="100">100</option>
<option value="101">> 100</option>
</select><span class="select2 select2-container select2-container--quform" dir="ltr" data-select2-id="3" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single"
role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-quform_4_90_1f4b77-container"><span class="select2-selection__rendered" id="select2-quform_4_90_1f4b77-container"
role="textbox" aria-readonly="true" title="Veuillez sélectionner">Veuillez sélectionner</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span
class="dropdown-wrapper" aria-hidden="true"></span></span></div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-column quform-element-4_72">
<div class="quform-element quform-element-select quform-element-4_85 quform-cf quform-element-optional">
<div class="quform-spacer">
<div class="quform-label quform-label-4_85"><label class="quform-label-text" for="quform_4_85_1f4b77">Age Moyen</label></div>
<div class="quform-inner quform-inner-select quform-inner-4_85 quform-field-size-slim">
<div class="quform-input quform-input-select quform-input-4_85 quform-cf"><select id="quform_4_85_1f4b77" name="quform_4_85"
class="quform-field quform-field-select quform-field-4_85 quform-field-select-enhanced select2-hidden-accessible"
data-options="{"rtl":false,"search":false,"noResultsFound":"Aucun r\u00e9sultat."}" style="width: 100%;" data-select2-id="quform_4_85_1f4b77" tabindex="-1" aria-hidden="true">
<option value="" selected="selected" data-select2-id="6">Veuillez sélectionner</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
<option value="32">32</option>
<option value="33">33</option>
<option value="34">34</option>
<option value="35">35</option>
<option value="36">36</option>
<option value="37">37</option>
<option value="38">38</option>
<option value="39">39</option>
<option value="40">40</option>
<option value="41">41</option>
<option value="42">42</option>
<option value="43">43</option>
<option value="44">44</option>
<option value="45">45</option>
<option value="46">46</option>
<option value="47">47</option>
<option value="48">48</option>
<option value="49">49</option>
<option value="50">50</option>
<option value="51">51</option>
<option value="52">52</option>
<option value="53">53</option>
<option value="54">54</option>
<option value="55">55</option>
<option value="56">56</option>
<option value="57">57</option>
<option value="58">58</option>
<option value="59">59</option>
<option value="60">60</option>
<option value="61">61</option>
<option value="62">62</option>
<option value="63">63</option>
<option value="64">64</option>
<option value="65">65</option>
<option value="66">66</option>
<option value="67">67</option>
<option value="68">68</option>
</select><span class="select2 select2-container select2-container--quform" dir="ltr" data-select2-id="5" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single"
role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-quform_4_85_1f4b77-container"><span class="select2-selection__rendered" id="select2-quform_4_85_1f4b77-container"
role="textbox" aria-readonly="true" title="Veuillez sélectionner">Veuillez sélectionner</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span
class="dropdown-wrapper" aria-hidden="true"></span></span></div>
</div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-select quform-element-4_67 quform-cf quform-element-optional">
<div class="quform-spacer">
<div class="quform-label quform-label-4_67"><label class="quform-label-text" for="quform_4_67_1f4b77">Niveau de protection</label></div>
<div class="quform-inner quform-inner-select quform-inner-4_67 quform-field-size-slim">
<div class="quform-input quform-input-select quform-input-4_67 quform-cf"><select id="quform_4_67_1f4b77" name="quform_4_67"
class="quform-field quform-field-select quform-field-4_67 quform-field-select-enhanced select2-hidden-accessible"
data-options="{"rtl":false,"search":false,"noResultsFound":"Aucun r\u00e9sultat."}" style="width: 100%;" data-select2-id="quform_4_67_1f4b77" tabindex="-1" aria-hidden="true">
<option value="" selected="selected" data-select2-id="8">Veuillez sélectionner</option>
<option value="Minimum">Minimum</option>
<option value="Confort">Confort</option>
<option value="Optimal">Optimal</option>
</select><span class="select2 select2-container select2-container--quform" dir="ltr" data-select2-id="7" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-quform_4_67_1f4b77-container"><span class="select2-selection__rendered" id="select2-quform_4_67_1f4b77-container" role="textbox"
aria-readonly="true" title="Veuillez sélectionner">Veuillez sélectionner</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper"
aria-hidden="true"></span></span></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-group quform-element-4_87 quform-cf quform-group-style-plain">
<div class="quform-spacer">
<div class="quform-group-title-description">
<h3 class="quform-group-title"><b>Salarié Cadre</b></h3>
</div>
<div class="quform-child-elements">
<div class="quform-element quform-element-row quform-element-row-4_88 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape">
<div class="quform-element quform-element-column quform-element-4_89">
<div class="quform-element quform-element-select quform-element-4_96 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-4_96"><label class="quform-label-text" for="quform_4_96_1f4b77">Nombre de salarié<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-select quform-inner-4_96 quform-field-size-slim">
<div class="quform-input quform-input-select quform-input-4_96 quform-cf"><select id="quform_4_96_1f4b77" name="quform_4_96"
class="quform-field quform-field-select quform-field-4_96 quform-field-select-enhanced select2-hidden-accessible"
data-options="{"rtl":false,"search":false,"noResultsFound":"Aucun r\u00e9sultat."}" style="width: 100%;" data-select2-id="quform_4_96_1f4b77" tabindex="-1" aria-hidden="true">
<option value="" selected="selected" data-select2-id="10">Veuillez sélectionner</option>
<option value="Aucun">Aucun</option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
<option value="32">32</option>
<option value="33">33</option>
<option value="34">34</option>
<option value="35">35</option>
<option value="36">36</option>
<option value="37">37</option>
<option value="38">38</option>
<option value="39">39</option>
<option value="40">40</option>
<option value="41">41</option>
<option value="42">42</option>
<option value="43">43</option>
<option value="44">44</option>
<option value="45">45</option>
<option value="46">46</option>
<option value="47">47</option>
<option value="48">48</option>
<option value="49">49</option>
<option value="50">50</option>
<option value="51">51</option>
<option value="52">52</option>
<option value="53">53</option>
<option value="54">54</option>
<option value="55">55</option>
<option value="56">56</option>
<option value="57">57</option>
<option value="58">58</option>
<option value="59">59</option>
<option value="60">60</option>
<option value="61">61</option>
<option value="62">62</option>
<option value="63">63</option>
<option value="64">64</option>
<option value="65">65</option>
<option value="66">66</option>
<option value="67">67</option>
<option value="68">68</option>
<option value="69">69</option>
<option value="70">70</option>
<option value="71">71</option>
<option value="72">72</option>
<option value="73">73</option>
<option value="74">74</option>
<option value="75">75</option>
<option value="76">76</option>
<option value="77">77</option>
<option value="78">78</option>
<option value="79">79</option>
<option value="80">80</option>
<option value="81">81</option>
<option value="82">82</option>
<option value="83">83</option>
<option value="84">84</option>
<option value="85">85</option>
<option value="86">86</option>
<option value="87">87</option>
<option value="88">88</option>
<option value="89">89</option>
<option value="90">90</option>
<option value="91">91</option>
<option value="92">92</option>
<option value="93">93</option>
<option value="94">94</option>
<option value="95">95</option>
<option value="96">96</option>
<option value="97">97</option>
<option value="98">98</option>
<option value="99">99</option>
<option value="100">100</option>
<option value="101">> 100</option>
</select><span class="select2 select2-container select2-container--quform" dir="ltr" data-select2-id="9" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single"
role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-quform_4_96_1f4b77-container"><span class="select2-selection__rendered" id="select2-quform_4_96_1f4b77-container"
role="textbox" aria-readonly="true" title="Veuillez sélectionner">Veuillez sélectionner</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span
class="dropdown-wrapper" aria-hidden="true"></span></span></div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-column quform-element-4_91">
<div class="quform-element quform-element-select quform-element-4_92 quform-cf quform-element-optional">
<div class="quform-spacer">
<div class="quform-label quform-label-4_92"><label class="quform-label-text" for="quform_4_92_1f4b77">Age Moyen</label></div>
<div class="quform-inner quform-inner-select quform-inner-4_92 quform-field-size-slim">
<div class="quform-input quform-input-select quform-input-4_92 quform-cf"><select id="quform_4_92_1f4b77" name="quform_4_92"
class="quform-field quform-field-select quform-field-4_92 quform-field-select-enhanced select2-hidden-accessible"
data-options="{"rtl":false,"search":false,"noResultsFound":"Aucun r\u00e9sultat."}" style="width: 100%;" data-select2-id="quform_4_92_1f4b77" tabindex="-1" aria-hidden="true">
<option value="" selected="selected" data-select2-id="12">Veuillez sélectionner</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
<option value="32">32</option>
<option value="33">33</option>
<option value="34">34</option>
<option value="35">35</option>
<option value="36">36</option>
<option value="37">37</option>
<option value="38">38</option>
<option value="39">39</option>
<option value="40">40</option>
<option value="41">41</option>
<option value="42">42</option>
<option value="43">43</option>
<option value="44">44</option>
<option value="45">45</option>
<option value="46">46</option>
<option value="47">47</option>
<option value="48">48</option>
<option value="49">49</option>
<option value="50">50</option>
<option value="51">51</option>
<option value="52">52</option>
<option value="53">53</option>
<option value="54">54</option>
<option value="55">55</option>
<option value="56">56</option>
<option value="57">57</option>
<option value="58">58</option>
<option value="59">59</option>
<option value="60">60</option>
<option value="61">61</option>
<option value="62">62</option>
<option value="63">63</option>
<option value="64">64</option>
<option value="65">65</option>
<option value="66">66</option>
<option value="67">67</option>
<option value="68">68</option>
</select><span class="select2 select2-container select2-container--quform" dir="ltr" data-select2-id="11" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single"
role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-quform_4_92_1f4b77-container"><span class="select2-selection__rendered" id="select2-quform_4_92_1f4b77-container"
role="textbox" aria-readonly="true" title="Veuillez sélectionner">Veuillez sélectionner</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span
class="dropdown-wrapper" aria-hidden="true"></span></span></div>
</div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-select quform-element-4_93 quform-cf quform-element-optional">
<div class="quform-spacer">
<div class="quform-label quform-label-4_93"><label class="quform-label-text" for="quform_4_93_1f4b77">Niveau de protection</label></div>
<div class="quform-inner quform-inner-select quform-inner-4_93 quform-field-size-slim">
<div class="quform-input quform-input-select quform-input-4_93 quform-cf"><select id="quform_4_93_1f4b77" name="quform_4_93"
class="quform-field quform-field-select quform-field-4_93 quform-field-select-enhanced select2-hidden-accessible"
data-options="{"rtl":false,"search":false,"noResultsFound":"Aucun r\u00e9sultat."}" style="width: 100%;" data-select2-id="quform_4_93_1f4b77" tabindex="-1" aria-hidden="true">
<option value="" selected="selected" data-select2-id="14">Veuillez sélectionner</option>
<option value="Minimum">Minimum</option>
<option value="Confort">Confort</option>
<option value="Optimal">Optimal</option>
</select><span class="select2 select2-container select2-container--quform" dir="ltr" data-select2-id="13" style="width: 100%;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-quform_4_93_1f4b77-container"><span class="select2-selection__rendered" id="select2-quform_4_93_1f4b77-container" role="textbox"
aria-readonly="true" title="Veuillez sélectionner">Veuillez sélectionner</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper"
aria-hidden="true"></span></span></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-submit quform-element-4_49 quform-cf quform-button-style-theme">
<div class="quform-button-next quform-button-next-default quform-button-next-4_49"><button name="quform_submit" type="submit" class="quform-next" value="submit"><span
class="quform-button-text quform-button-next-text">Suivant</span></button></div>
<div class="quform-loading quform-loading-position-left quform-loading-type-spinner-1">
<div class="quform-loading-inner">
<div class="quform-loading-spinner">
<div class="quform-loading-spinner-inner"></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-page quform-page-1 quform-page-4_1 quform-cf quform-group-style-bordered quform-last-page">
<div class="quform-page-title-description">
<h3 class="quform-page-title">Votre entreprise</h3>
</div>
<div class="quform-child-elements">
<div class="quform-element quform-element-group quform-element-4_58 quform-cf quform-group-style-plain">
<div class="quform-spacer">
<div class="quform-group-title-description">
<h4 class="quform-group-title">Information société</h4>
</div>
<div class="quform-child-elements">
<div class="quform-element quform-element-text quform-element-4_50 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-4_50"><label class="quform-label-text" for="quform_4_50_1f4b77">Nom de l'entreprise<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-text quform-inner-4_50">
<div class="quform-input quform-input-text quform-input-4_50 quform-cf"><input type="text" id="quform_4_50_1f4b77" name="quform_4_50" class="quform-field quform-field-text quform-field-4_50"></div>
</div>
</div>
</div>
<div class="quform-element quform-element-text quform-element-4_57 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-4_57"><label class="quform-label-text" for="quform_4_57_1f4b77">Adresse<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-text quform-inner-4_57">
<div class="quform-input quform-input-text quform-input-4_57 quform-cf"><input type="text" id="quform_4_57_1f4b77" name="quform_4_57" class="quform-field quform-field-text quform-field-4_57"></div>
</div>
</div>
</div>
<div class="quform-element quform-element-row quform-element-row-4_53 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape">
<div class="quform-element quform-element-column quform-element-4_54">
<div class="quform-element quform-element-text quform-element-4_52 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-4_52"><label class="quform-label-text" for="quform_4_52_1f4b77">Code Postal<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-text quform-inner-4_52">
<div class="quform-input quform-input-text quform-input-4_52 quform-cf"><input type="text" id="quform_4_52_1f4b77" name="quform_4_52" class="quform-field quform-field-text quform-field-4_52"></div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-column quform-element-4_55">
<div class="quform-element quform-element-text quform-element-4_56 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-4_56"><label class="quform-label-text" for="quform_4_56_1f4b77">Ville<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-text quform-inner-4_56">
<div class="quform-input quform-input-text quform-input-4_56 quform-cf"><input type="text" id="quform_4_56_1f4b77" name="quform_4_56" class="quform-field quform-field-text quform-field-4_56"></div>
</div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-name quform-element-4_34 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-4_34"><span class="quform-label-icon"><i class="fa fa-user"></i></span><label class="quform-label-text" id="quform_4_34_1f4b77_label">Nom<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-name quform-inner-4_34">
<div class="quform-input quform-input-name quform-input-4_34 quform-cf">
<div class="quform-element-row quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape">
<div class="quform-element-column">
<div class="quform-element quform-element-text quform-element-4_34_2 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-inner quform-inner-text quform-inner-4_34_2">
<div class="quform-input quform-input-text quform-input-4_34_2 quform-cf"><input type="text" id="quform_4_34_2_1f4b77" name="quform_4_34[2]" class="quform-field quform-field-text quform-field-4_34_2"
aria-labelledby="quform_4_34_1f4b77_label quform_4_34_2_1f4b77_sub_label_below"></div><label id="quform_4_34_2_1f4b77_sub_label_below" class="quform-sub-label quform-sub-label-below">Prénom</label>
</div>
</div>
</div>
</div>
<div class="quform-element-column">
<div class="quform-element quform-element-text quform-element-4_34_4 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-inner quform-inner-text quform-inner-4_34_4">
<div class="quform-input quform-input-text quform-input-4_34_4 quform-cf"><input type="text" id="quform_4_34_4_1f4b77" name="quform_4_34[4]" class="quform-field quform-field-text quform-field-4_34_4"
aria-labelledby="quform_4_34_1f4b77_label quform_4_34_4_1f4b77_sub_label_below"></div><label id="quform_4_34_4_1f4b77_sub_label_below" class="quform-sub-label quform-sub-label-below">Nom de famille</label>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-email quform-element-4_36 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-4_36"><label class="quform-label-text" for="quform_4_36_1f4b77">Email<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-email quform-inner-4_36">
<div class="quform-input quform-input-email quform-input-4_36 quform-cf quform-has-field-icon-left"><input type="email" id="quform_4_36_1f4b77" name="quform_4_36" class="quform-field quform-field-email quform-field-4_36"><span
class="quform-field-icon quform-field-icon-left"><i class="fa fa-envelope-o"></i></span></div>
</div>
</div>
</div>
<div class="quform-element quform-element-text quform-element-4_37 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-4_37"><label class="quform-label-text" for="quform_4_37_1f4b77">Téléphone<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-text quform-inner-4_37">
<div class="quform-input quform-input-text quform-input-4_37 quform-cf quform-has-field-icon-left"><input type="text" id="quform_4_37_1f4b77" name="quform_4_37" class="quform-field quform-field-text quform-field-4_37"><span
class="quform-field-icon quform-field-icon-left"><i class="fa fa-phone"></i></span></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-submit quform-element-4_47 quform-cf quform-button-style-theme quform-button-width-full">
<div class="quform-button-back quform-button-back-default quform-button-back-4_47"><button name="quform_submit" type="submit" class="quform-back" value="back"><span class="quform-button-text quform-button-back-text">Retour</span></button>
</div>
<div class="quform-button-submit quform-button-submit-default quform-button-submit-4_47 quform-button-icon-right"><button name="quform_submit" type="submit" class="quform-submit" value="submit"><span
class="quform-button-text quform-button-submit-text">Valider</span><span class="quform-button-icon quform-button-submit-icon"><i class="qicon-send"></i></span></button></div>
<div class="quform-loading quform-loading-position-left quform-loading-type-spinner-1">
<div class="quform-loading-inner">
<div class="quform-loading-spinner">
<div class="quform-loading-spinner-inner"></div>
</div>
</div>
</div>
</div>
<div class="quform-element-tree"><label for="quform_4_0_1f4b77">Ce champ devrait être laissé vide</label><input type="text" id="quform_4_0_1f4b77" name="quform_4_0" class="quform-field quform-field-tree quform-field-4_0" tabindex="-1"
autocomplete="off"></div>
</div>
</div>
</div>
</div>
</form>Text Content
06 62 65 25 10
MENU ≡ ╳
* Accueil
* Votre devis
Skip to content
* Une mutuelle qui protège la santé de vos salariés et votre budget.
Une offre souple qui s'adapte à vos obligations légales.
[leadinjection_heading heading_type=”h3″ align_sm=”content-center-sm”
heading_text=”Une offre complète et adaptée”
css=”.vc_custom_1522869236985{margin-top: 0px !important;margin-bottom: 15px
!important;}”]
[leadinjection_icon icon_fontawesome=”fa fa-eur” icon_style=”rounded”
alignment=”left” align_sm=”content-center-sm” icon_outline=”outline”
icon_border_color=”#1bace7″ icon_sign_color=”#ffffff”
icon_background_color=”#1bace7″]
[leadinjection_heading heading_type=”h4″ align_sm=”content-center-sm”
heading_text=”Un budget maitrisé”][leadinjection_textblock]Des garanties
employeur à la hauteur de vos attentes, un renfort avec des options
individuelles facultatives pour vos salariés et leurs ayants
droit.[/leadinjection_textblock]
[leadinjection_icon icon_type=”iconssolid” icon_iconssolid=”is
is-icon-building-5″ icon_style=”rounded” alignment=”left”
align_sm=”content-center-sm” icon_outline=”outline” icon_border_color=”#1bace7″
icon_sign_color=”#ffffff” icon_background_color=”#1bace7″]
[leadinjection_heading heading_type=”h4″ align_sm=”content-center-sm”
heading_text=”Respect de vos obligations”][leadinjection_textblock]
Assujetti à une convention collective, nous vous proposerons une offre adaptée
et nous vous accompagnons.
[/leadinjection_textblock]
[leadinjection_heading heading_type=”h3″ heading_text=”Recevez gratuitement
votre devis.” css=”.vc_custom_1507799957394{margin-bottom: 45px
!important;}”][leadinjection_textblock]
50%
VOS SALARIÉS
Disposez-vous d'un convention collective ?*
Veuillez sélectionnerNonCoiffure (IDDC:2196)Laboratoire (IDDC:959)Vétérinaires
(IDDC:1875)Expert-Comptable (IDDC:787)Transport(IDDC:16)Immobilier
(IDDC:1527)Restauration Rapide (IDDC:1501)Syntec Bureaux d'Etude, Sociétés de
Conseil (IDDC:1486)Hotel Cafés Restaurant (IDDC:1979)Autre ConventionVeuillez
sélectionner
SALARIÉ NON-CADRE
Nombre de salarié*
Veuillez
sélectionnerAucun123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100>
100Veuillez sélectionner
Age Moyen
Veuillez
sélectionner20212223242526272829303132333435363738394041424344454647484950515253545556575859606162636465666768Veuillez
sélectionner
Niveau de protection
Veuillez sélectionnerMinimumConfortOptimalVeuillez sélectionner
SALARIÉ CADRE
Nombre de salarié*
Veuillez
sélectionnerAucun123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100>
100Veuillez sélectionner
Age Moyen
Veuillez
sélectionner20212223242526272829303132333435363738394041424344454647484950515253545556575859606162636465666768Veuillez
sélectionner
Niveau de protection
Veuillez sélectionnerMinimumConfortOptimalVeuillez sélectionner
Suivant
VOTRE ENTREPRISE
INFORMATION SOCIÉTÉ
Nom de l'entreprise*
Adresse*
Code Postal*
Ville*
Nom*
Prénom
Nom de famille
Email*
Téléphone*
Retour
Valider
Ce champ devrait être laissé vide
[/leadinjection_textblock]
[leadinjection_heading align=”center” secondary_text_weight=”fw-normal”
heading_text=”Votre temps est précieux.” secondary_text=”Une équipe dédié pour
la mise en place de votre contrat, une relation directe avec le gestionnaire de
votre compte.” css=”.vc_custom_1547553280904{margin-top: 30px
!important;margin-bottom: 30px !important;}”]
[leadinjection_heading align=”center” secondary_text_weight=”fw-normal”
heading_text=”A vos cotés” css=”.vc_custom_1547553313609{margin-bottom: 20px
!important;}”][leadinjection_side_icon_text
icon_style=”li-side-icon-text-icon_square” icon_fontawesome=”fa fa-check”
icon_outline=”true” icon_color=”#1bace7″ icon_border_color=”#1bace7″ title=”Un
accompagnement personnalisé” title_color=”#33495f”
css=”.vc_custom_1547499841321{margin-bottom: 45px !important;}”]Grace à votre
numéro unique, vous serez toujours en relation directe avec le gestionnaire de
votre compte.[/leadinjection_side_icon_text][leadinjection_side_icon_text
icon_style=”li-side-icon-text-icon_square” icon_fontawesome=”fa fa-check”
icon_outline=”true” icon_color=”#1bace7″ icon_border_color=”#1bace7″ title=”Un
espace client disponible 24h/24 et 7/7″ title_color=”#33495f”
css=”.vc_custom_1547499721343{margin-bottom: 45px !important;}”]Pour une gestion
de vos salariés toujours accessible,[/leadinjection_side_icon_text]
[leadinjection_heading align=”center” secondary_text_weight=”fw-normal”
heading_text=”Indemnisation rapide” secondary_text=”Un indemnisation sous 48H
des frais de santé.” css=”.vc_custom_1547553639391{margin-top: 30px
!important;margin-bottom: 30px !important;}”]
[leadinjection_heading secondary_text_weight=”fw-normal”
align_md=”content-center-md” heading_text=”Une question ?”
heading_text_color=”#29ade5″ secondary_text=”Contactez-nous au 06 62 65 25 10″
secondary_text_color=”#ffffff” css=”.vc_custom_1547541796571{margin-bottom: 5%
!important;}”][leadinjection_textblock align_md=”content-center-md”
content_color=”#ffffff”]Nos conseillers répondent à vos attentes pour vous
proposer une solution adaptée en matière de mutuelle pour les dirigeants et
salariés de l’entreprise[/leadinjection_textblock]
[leadinjection_button size=”btn-xl” color=”btn-custom2″ enable_link=”yes”
link_url=”url:https%3A%2F%2Fwww.assurance-trc.net%2F%23devis|||”]Demander votre
devis[/leadinjection_button]
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