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Town & Country Insurance
 

Individual/Family Health Coverage such as this is becoming more popular as the cost of group health benefits continues to rise.  If you are self employed, individual plans can be significantly lower in premium.  Individual/Family health plans do require medical underwriting which means each person on the application must answer health questions.   Town and Country Insurance can tailor a plan to meet your personal/family needs and budget.  Complete the information below and we will gladly send you  a cost comparison of the plans we have available from the A rated companies we represent.

Additionally, many smaller employers are considering these type of plans to help control their employee benefits expenses.  It is important for an employer to know that there is very important guidance from the Department of Labor  that must be followed.  Let us explain your options—simply complete the contact information below and someone will contact you.  Thanks for this opportunity to work with you.

A representative at Town and Country Insurance will contact you with further information by your preferred method of contact after you complete the following form.

You may also contact our office directly for quotes.

  • Contact Information

    Name

    Phone Number

    Street Address

    Address Line 2

    City

    State

    Zip Code


    Email Address


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  • Coverage information

    Applicant's gender

    Applicant's date of birth


    Spouse's name

    Spouse's date of birth

    Spouse's gender


    Does applicant use tobacco?

    Does applicant's spouse use tobacco?


    Coverage Type Desired


    REQUIRED: Describe in your own words the type of coverage you're looking for

  • Contacting You

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    Email   Phone

    If by phone, when is the best time to contact you?