Business Information
Business Name: Premises Address: City: State (New York, CT or NJ): Zip Code: Years In Business: Contact Name: Phone: Extension #: Email: (Required) How Best To Contact You: Federal Employer's ID #: Description of Operations: Number of Employees to be Insured: Insurance Information Currently Insured: Insurance Expiration: Any losses past 3 years? Description of losses, including amount paid on each accident. Coverage Information Who Will Be Insured: Amount of Coverage Per Employee: Other Insurance Amount Desired: Has anyone to be insured had health problems during the past 3 years: If Yes, list information: Anyone to be insured have a hazardous job: If Yes, how many with hazardous jobs: Anyone to be insured an active member of the military reserves: If Yes, how many are members of the military reserves: Question or Message: Click the "Submit Quote Request" button below to send your New York Group Life Insurance request to Direct Access Group Benefits. ***By submitting this request you acknowledge that this is neither an offer to insure nor a guarantee of insurance.*** We are a Somers, NY insurance agency offering New York group life insurance quotes in the following towns, cities and counties in the Westchester County, NY area: Port Chester, Harrison, Mamaroneck, Larchmont, New Rochelle, Yonkers, White Plains, Rye Brook, Scarsdale, Rye, Ardsley, Hartsdale, Bronxville, Mount Vernon, Irvington, Valhalla, Elmsford, Dobbs Ferry, Hastings on Hudson, Greenburgh, Tarrytown, Sleepy Hollow, Hawthorne, Scarborough, Thornwood, Briarcliff Manor, Ossining, Harmon, Montrose Crugers, Buchanan, Peekskill, Millwood, Pleasantville Armonk, Chappaqua, North Castle, Mt. Kisco, Bedford, Pound Ridge, Bedford Hills, Cross River, South Salem, Yorktown Heights, Goldens Bridge, Amawalk, Yorktown, Katonah, Salem Center, Somers, North Salem, Croton Falls, Jefferson Valley, Shrub Oak, Palisades, Sparkill, Tappan, Orangeburg, Pearl River, West Nyack, New City, Nanuet, Chestnut Ridge, Montebello, Suffern, Monsey, Spring Valley, Congers, Nyack, Rockland Lake, Wesley Hills, New Hempstead, Pomona, Sloatsburg, Ramapo, Hilburn, Willow Grove, Mt. Ivy, Thiells, Tomkins Cove, Ladentown, Haverstraw, Stony Point, Tomkins Cove, West Haverstraw, Bear Mountain, Jones Point, Newburgh, Middletown, Bronx, New York City, Brewster, Poughkeepsie, Putnam County, Orange County, and Rockland County, New York. Copyright 2017 OasisEarth Internet Group, All Rights Reserved
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