Long Term Care Insurance Quotes

Do you have questions about
group long term care insurance
for your New York business?

Group Employee

Long Term Care

Insurance Quotes

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 long term care insurance to employees?
Want Long Term Care Insurance Coverage For:
How many employees to be insured:

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 Long Term Care Insurance quote request.**

New York Business Information:

**Information received from this Group Long Term Care 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 long term care 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 you to a New York
Group Employee Long Term Care 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 New York Group Long Term Care Insurance quotes 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,
Cove Neck, Bayville, Locust Valley, Lattingtown, Matinecock, Mill
Neck, Sea Cliff, Centre Island, Brookville, Locust Grove, Muttontown,
East Norwich, Old Westbury, North Massapequa, Seaford, Manorhaven,
Huntington Station, Huntington Bay, Greenlawn, Commack, Plainview,
Deer Park, Farmingdale, West Babylon, Brentwood, Central Islip, East
Northport, Centereach, Coram, Riverhead, Lido Beach, New Suffolk,
Port Jefferson, and everywhere else in Nassau County, Queens County,
Kings County, New York County, Bronx County, Westchester County,
and Suffolk County, NY.