Insurance Forms Online
As a service to our clients and website visitors, we've listed below links to our
55 online insurance forms. You can access these forms, print them, and either
fax, email, or mail them to us.
Click on a carrier name below to immediately be transferred to the forms
available for them.
Employee Benefits Specialists
Call Us 1-800-498-1819
Direct Access
Group Benefits, Inc.
189 Route 100, PO Box 590
Somers, New York 10589
Westchester County, NY
Toll Free: 1-800-498-1819
Office: (914) 276-6000
Fax: (914) 401-9319
Contact Us Today!
Copyright 2004-2018 Direct Access Group Benefits, Inc. - All rights reserved
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With more than 20 years of offering affordable group insurance
services to both large employers and small businesses
throughout New York, Connecticut, and New Jersey. We're an
independent insurance agency and therefore able to
consistently offer cost effective group insurance services which
are driven by a total commitment to service.
Our employee benefit insurance services include: Group Health
and Life Insurance, Group Dental and Vision Insurance, Group
Long Term Care Insurance and Disability Insurance, as well as
Health Savings Accounts and employee Profit Sharing, Pension,
and Retirement Plans for your business.