New York Business Employee Benefit Plans Contact Form

**Information received from this NY, CT, or NJ employee benefit contact form

sent to Direct Access Group Benefits will be for our use only and

will not be sold, given to or distributed to any other parties. By submitting

this request you acknowledge that this is neither an offer to insure nor

a guarantee of insurance. We are licensed in NY, CT, and NJ and will not

provide quotes for other states.

We offer pension, retirement, and profit sharing plans for businesses in the
following New York counties and cities: Westchester County, Putnam County,
Orange County, Rockland County, Port Chester, Harrison, Mamaroneck,
Larchmont, New Rochelle, Yonkers, White Plains, Rye Brook, Scarsdale, Rye,
Ardsley, Hartsdale, Bronxville, Mt. Vernon, 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, and Poughkeepsie, NY.

Business Name:
Premises Address:
City:     State:     Zip Code:
Contact Name:
Phone #:    Ext #:
Fax:    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 Profit Sharing/Pension Plans &
Retirement Plans to employees?
Want Profit Sharing/Pension & Retirement Plans For:
How many employees to be offered benefits:

Business Retirement/Pension Plans or Profit Sharing Question:

Click on the "Submit Information" button below to send your NY, CT, or NJ
Business Retirement/Pension Plans or Profit Sharing information request.**

We also offer pension, retirement, and profit sharing plans for businesses in the following Connecticut
counties and cities: Fairfield County, Stamford, Norwalk, Greenwich, Darien, Riverside, Belltown,
Springdale, Round Hill, Old Greenwich, East Norwalk, New Canaan, Glenville, Byram, Cos Cob, Mianus,
North Stamford, Glenbrook, Wilton, Weston, Long Ridge, Noroton, West Norwalk, Westport, High Ridge,
Southport, North Wilton, Winnipauk, Cannondale, Turn of River, South Wilton, Lyons Plains, Georgetown,
Ridgefield, Branchville, Redding, Topstone, Ridgebury, Redding Ridge, Branchville, Dodgingtown, West
Redding, Titicus, Hattertown, Bethel, Danbury, New Fairfield, Newtown, Hawleyville, Botsford, Monroe,
Bridgeport, Stepney, Shelton, Huntington, Upper Stepney, Long Hill, Trumbull, Stratford, Easton, Fairfield,
Greenfield Hill, Stratfield, Nichols, Oronoque, Rivercliff, Devon, Lordship, and East Bridgeport, and New
Haven, CT.