Employee Life Insurance Quote Texas

Barhorst Insurance Group of
Houston, TX offers
comprehensive Commercial
Insurance coverage options
and experienced business
insurance services throughout
Texas.

Texas Group Life

Insurance Quote

Texas Business Information:

Business Name:
Premises Address:
City:
State:  TEXAS
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)

Texas Group Life Insurance Coverage Information:

Group Term Life Insurance Objective:
Amount of Life Insurance Per Employee:    Other Amount:$

Employee Information:

How many employees to be insured:

Did any employee to be insured have health problems during
the past 18 months?
If "Yes", please list information below.

Does any employee to be insured have a hazardous job? Yes No
If Yes, how many have hazardous jobs?

Employees to be insured active members of the military reserves? Yes No
If Yes, how many are active members of the military reserves?

Additional Question or Comment:

Click on the "Submit Quote Information" button below to send
your Texas Group Life insurance quote request.**

**Information received from this Texas Group Life Insurance quote request form sent to Barhorst Insurance Group, will be for our use only and will not be sold, given to or distributed to any other parties. A quote will be based on the group life insurance policy information provided and does not guarantee acceptance of the risk by us. The precise coverage afforded is subject to meeting underwriting guidelines, and the terms, conditions and exclusions of the policy as issued. By submitting this request you acknowledge that this is neither an offer to insure nor a guarantee of insurance. Completion of this form does not entitle your business to a Texas Group Life Insurance Policy. We are licensed in Texas and will not provide quotes for other states.

Do you have questions about

Group Life Insurance for

your Texas business?

We provide comprehensive Group Life

Insurance services in the Houston

metropolitan area and throughout Texas!