Business Information

Business Name:

Premises Address:

City:

State (New York, CT or NJ):

Zip Code:

Years In Business:

Contact Name:

Phone:

Extension #:


Email:  (Required)


How Best To Contact You:


Federal Employer's ID #:

Description of Operations:




Any Employees Currently Insured:




Coverage Information

Who Will Be Insured:



Number of Employees to be Insured:



Length of Group Disability
Coverage Needed:



Type of Group Disability
Coverage Needed:



Monthly Benefit Amount For
Each Person Insured:



Benefit Period Desired For
Each Person Insured:



Elimination Period Desired For
Each Person Insured:



Payment Mode:




Anyone to be insured
have a hazardous job:


If Yes, how many with hazardous jobs:


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


If Yes, how many are members
of the military reserves:




Explain any recent Workers
Compensation claims:




Question or Message:



Click the "Submit Quote Request"
button below to send your New York
Group Disability 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 group
disability 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, NY.
Group Disability
Insurance Quote
(including NY State
Mandated Short Term
Disability Insurance)
Westchester County, NY
In addition to New York
Group Disability Insurance
for your small business
employees, we also offer
affordable Group Health
Insurance policy premiums
or choose another New
York, CT, or NJ employee
group insurance quote
from the list below.
Direct Access
Group Benefits, Inc.
189 Route 100, PO Box 590
Somers, NY 10589
Westchester County, NY
Toll Free: 1-800-498-1819
Office: (914) 276-6000
Fax: (914) 401-9319
Contact Us Today!
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Copyright 2004-2020 Direct Access Group Benefits, Inc. - All rights reserved
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.
Group Disability
Insurance Quote
Group
Insurance Quotes