Insurance Plus offers
affordable Group
Health Insurance
coverage options and
experienced business
insurance services
throughout New York.
Contact us today
about Group Health,
Life, Disability, Long
Term Care Insurance,
and other insurance
services for your New
York business.
516-922-1200
212-268-4473

**Information received from this Group Health Insurance quote request form
sent to Insurance Plus will be for our use only and will not be sold, given to
or distributed to any other parties. A quote will be based on the group health
insurance policy information provided and does not guarantee acceptance of
the risk by us. The precise coverage afforded is subject to meeting
underwriting guidelines, and the terms, conditions and exclusions of the
policy as issued. By submitting this request you acknowledge that this is
neither an offer to insure nor a guarantee of insurance. Completion of this
form does not entitle your business to a New York Group Health Insurance
Policy. We are licensed in New York and will not provide quotes for other
states.

We are your local Long Island, NY insurance agency, offering affordable
Group Health Insurance plan services to businesses in the following New York
City area cities and counties: Oyster Bay, Huntington, Glen Cove, Port
Washington, Roslyn, Syosset, Jericho, East Hills, Great Neck, South
Huntington, Melville, Pinelawn, Farmingdale, Bethpage, Levittown, Lindenhurst,
Babylon, Bay Shore, Islip, Northport, Hicksville, Westbury, Mineola, Garden
City, Long Island City, Manhasset, Massapequa, Freeport, Lynbrook, Rockville
Centre, Hempstead, Elmont, Valley Stream, Long Beach, Oceanside,
Amityville, Merrick, Bellmore, Jamaica, Brooklyn, Bronx, Flatbush, Queens,
Astoria, and everywhere else in Nassau County, Queens County, Kings
County, New York County, Bronx County, Westchester County, and Suffolk
County, NY..
Do you have questions about
Group Health Insurance for
your New York business?
New York Group
Health Insurance Quote
Business Name:    
Premises Address:
City:     State:     Zip Code:
Contact Name:
Phone #:    Ext #:
Fax:    Years in Business:
Email Address: (Required) 
Description of Operations or SIC code:


Current Insurance Company: 
Policy Expiration Date:          (mm/dd/yyyy)



Do you currently offer health insurance benefits to employees?
Group Health Insurance Coverage For:
How many employees to be insured:    



HMO Group Health Insurance   HMO Co-Pay Amount Desired:  
PPO Group Health Insurance     PPO Deductible Amount Desired:
POS Group Health Insurance     POS Co-Pay Amount Desired:    
Fee-for-Service Insurance          Fee-for-Service Deductible:         


Choose Benefit Options:
Group Dental Insurance Coverage:
Group Vision Insurance Coverage:
Group Life Insurance Coverage:    

Has any employee to be insured experienced serious health
problems during the last 18 months?
If "Yes", please explain below.


Additional Information or Comments



Click on the "Submit Quote Information" button below to send
your New York Group Health Insurance quote request.**



New York Group Health Insurance Coverage Desired:
New York Business Information:
Employee Information:
Insurance Plus
15 W. Main Street
Oyster Bay, New York 11771
(516) 922-1200
(212) 268-4473
Fax: (516) 922-5900
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In addition to Group
Health Insurance, we also
offer affordable Group
Long Term Care Insurance
plan services.
Employee Health
Insurance Plan Quote
New York
Group Health
Insurance Quotes
Obtain information about Group Health Insurance coverages
New York Group Health Insurance Specialists
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