Group Life Insurance

What happens if your income is no longer there?

You and your family depend on your Earnings for food, clothing and a home. In fact, just about everything you have or hope to have in the future depends on your income.

What happens if your income is no longer there or is drastically reduced because of an injury or sickness?

How will you meet your normal living expenses plus pay for possible added medical expense? Even if you eliminate some of the less crucial expenditures such as entertainment, recreation, savings plans and even education, you are still faced with the continual need to provide a home, food, clothing...

Where will this money come from?

Are these realistic solutions?

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* Full Name Zip Code
* Address Phone
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Name of Proposed Insured
Gender
Birthdate
Height ft/inch
Weight Lbs.
Age
Tobacco
Medications/Conditions:  
    1.  2.  3.
Job Title
Exact Duties
Employee Status
If Self-Employed, Covered by SDI?
       % of work at home %
Premium to be paid by:
Other DI Coverage to Remain in Force
       If Group, % Of Salary   %
       Who pays premium  
Coverage Request  
   
Personal DI
Business Overhead Expense
Monthly Benefit Amount $
Elimination Period
Benifit Period
Disability Buy-Out
       Buy-Out Amount
       Lump Sum $
       Monthly $
       Benifit Period
       Elimination Period
Additional Information
   

Carriers We Work With

united heatlhcare insurance

unum insurance

blue shield insurance

the contractors plan insurance

aetna insurance

prudential insurance

assurant health insurance

protective life insurance

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Fill out the form and one of our licensed advisors will reach out within one business day — no pressure, no obligation.

Phone

714-323-5301

Medicare Calls

714-276-8584

Email

Main Office

PO Box 5217
Huntington Beach, CA 92615

Office Hours

Mon–Fri: 8:00 AM – 6:00 PM
Sat: 9:00 AM – 1:00 PM

Tell Us About Your Needs
 

When you fill out our form, you will receive health insurance quotes from Aetna, Anthem Blue Cross, Blue Shield of California, Health Net, PacifiCare & United Health Care. We'll help you find individual, family or small business health insurance and the best medical insurance plans for your needs and budget.