Long Term Care
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:



Are you currently taking or have
you taken any prescription or
over-the-counter medications
during the last 12 months:





Insurance Information

Date of Birth:

Gender:

Height:

Weight:


Do You Smoke:


Do you currently own Long:
Term Care Insurance:


If Yes, what is your monthly premium:
$



Choose Coverage Limits

Coverage For:


Type of Coverage Needed:


Daily Benefit Amount Desired:


Benefit Period:


Elimination Period:


Payment Mode:




Asset Information

Own or rent your primary residence:


Your current assets total:




Question or Message:




Click the "Submit Quote Request"
button below to send your New York
Long Term Care 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 New York long
term care 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 Long Term Care
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
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
Long Term Care
Insurance Quote
New York Personal
Insurance Quotes
Contact Us Today!
DIRECT
ACCESS
GROUP
BENEFITS,
INC.
Employee Benefits Specialists
Call Us 1-800-498-1819
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Copyright 2004-2017 Direct Access Group Benefits, Inc. - All rights reserved
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.