Life Insurance Quote
Applicant Information

First Name:

Last Name:

Address:

City:

State (New York, CT or NJ):

Zip Code:

Daytime Phone:

Cell Phone:


Email:  (Required)


How Best To Contact You:


Currently Insured:




Life Insurance Information

Date of Birth:

Gender:


Height:

Weight:


Do You Smoke:


Currently Own Life Insurance:


Type of Life Insurance Owned:


Current Premium (monthly):
$

Who Will Be Insured:




Coverage Information

Type of Life Insurance Desired:


Amount of Life Insurance Desired:


Other Insurance Amount Desired:


Benefit Period Desired:



Has anyone to be insured had
health problems during the past
10 years or diagnosed with a
serious illness:


If Yes, list information:


Anyone to be insured
have a hazardous job:


Anyone to be insured an active
member of the military reserves:



Question or Message:




Click the "Submit Quote Request" button below
to send your New York Life Insurance request
to Direct Access Group Benefits.


***By submitting this request you acknowledge
that this is neither an offer to insure nor a
guarantee of insurance.


            



We are a Somers, NY insurance
agency offering affordable New York
life insurance quotes in the
following towns, cities and counties
in the Westchester County, NY area:
Port Chester, Harrison, Mamaroneck,
Larchmont, New Rochelle, Yonkers,
White Plains, Rye Brook, Scarsdale,
Rye, Ardsley, Hartsdale, Bronxville,
Mount Vernon, Irvington, Valhalla,
Elmsford, Dobbs Ferry, Hastings
on Hudson, Greenburgh, Tarrytown,
Sleepy Hollow, Hawthorne,
Scarborough, Thornwood, Briarcliff
Manor, Ossining, Harmon, Montrose
Crugers, Buchanan, Peekskill, Millwood,
Pleasantville Armonk, Chappaqua, North
Castle, Mt. Kisco, Bedford, Pound Ridge,
Bedford Hills, Cross River, South Salem,
Yorktown Heights, Goldens Bridge,
Amawalk, Yorktown, Katonah, Salem
Center, Somers, North Salem, Croton
Falls, Jefferson Valley, Shrub Oak,
Palisades, Sparkill, Tappan, Orangeburg,
Pearl River, West Nyack, New City,
Nanuet, Chestnut Ridge, Montebello,
Suffern, Monsey, Spring Valley, Congers,
Nyack, Rockland Lake, Wesley Hills,
New Hempstead, Pomona, Sloatsburg,
Ramapo, Hilburn, Willow Grove, Mt. Ivy,
Thiells, Tomkins Cove, Ladentown,
Haverstraw, Stony Point, Tomkins Cove,
West Haverstraw, Bear Mountain, Jones
Point, Newburgh, Middletown, Bronx,
New York City, Brewster, Poughkeepsie,
Putnam County, Orange County, and
Rockland County, New York.
In addition to Life Insurance,
we also offer affordable Health
Insurance policy premiums or
choose another New York, CT,
or NJ family insurance
coverage from the list below.
New York
also CT & NJ
Web Site Built & Managed by InsuranceWebsiteServices.com
Copyright 2004-2017 Direct Access Group Benefits, Inc. - All rights reserved
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!
Life Insurance Quote
New York Personal
Insurance Quotes
DIRECT
ACCESS
GROUP
BENEFITS,
INC.
Employee Benefits Specialists
Call Us 1-800-498-1819
With more than 20 years of offering affordable group insurance services to both large
employers and small business throughout New York, Connecticut, and New Jersey.
We're an independent insurance agency and therefore able to consistently offer cost
effective life insurance coverage which is driven by a total commitment to service.