New York Mandated Disability Insurance Quotes

Business Name:
Premises Address:
City:     State:     Zip Code:
Contact Name:
Phone #:    Ext #:    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 short term Disability Insurance to employees?
Do you currently offer long term disability insurance to employees?
Length of Group Disability Coverage Needed?

Group Disability Coverage For?
Type of Group Disability Coverage Needed?
How many employees to be insured?

Payment Mode:

Does any employee to be insured have a hazardous job? Yes No
If Yes, how many have hazardous jobs?

Are any employees to be insured active members of the military reserves? Yes No
If Yes, how many are active members of the military reserves?

Additional Information or Comments

Click on the "Submit Quote Information" button below to send your
New York Mandated Short Term Disability Insurance quote request.**

**Information received from this NY Mandated Disability 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 disability 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 Group
Disability 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 New
York Mandated Disability 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.

Insurance Plus

15 W. Main Street

Oyster Bay, New York 11771

(516) 922-1200

(212) 268-4473

Fax: (516) 922-5900

Privacy

Legal

Site Map

Links

Built & Maintained by InsuranceWebsiteServices.com

INSURANCE

Plus