New York Group Disability Insurance Quote (including NY State Mandated Short Term Disability Insurance)

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:
Select One Phone Email

Federal Employer's ID #:

Description of Operations:




Any Employees Currently Insured:
Select One Yes No



Coverage Information

Who Will Be Insured:
Select One All Employees Some Employees Management Only Owners Only


Number of Employees to be Insured:
Select One 1 to 5 6 to 20 21 to 50 51 to 100 More Than 100


Length of Group Disability
Coverage Needed:
Select One NY State Mandated Coverage Short Term (Less than 4 months) Long Term (More than 4 months) Both Short & Long Term


Type of Group Disability
Coverage Needed:
Select One Accident Only Health Only Accident & Health


Monthly Benefit Amount For
Each Person Insured:
Select One NY State Mandated Amount 50% of Salary 66% of Salary 100% of Salary Other Amount


Benefit Period Desired For
Each Person Insured:
Select One NY State Mandated Period 13 weeks (Short Term Policy) 17 weeks (Short Term Policy) 6 months (Long Term Policy) 6 mths to 2 yrs (Long Term Policy) 6 mths to 5 yrs (Long Term Policy) To Age 65 (Long Term Policy)


Elimination Period Desired For
Each Person Insured:
Select One NY State Mandated Period None 30 days 60 days 90 days 180 days


Payment Mode:
Select One Annual Semi-Annual Quarterly Monthly



Anyone to be insured
have a hazardous job:
Select One Yes No

If Yes, how many with hazardous jobs:


Anyone to be insured an active
member of the military reserves:
Select One Yes No

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, New York.


Copyright 2017 OasisEarth Internet Group,
All Rights Reserved

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.

also CT & NJ

Group Disability Insurance Quote

New York Group Insurance Quotes

Group Health Insurance Quote

Group Long Term Care Insurance Quote

Group Life Insurance Quote

Health Savings Account Insurance Quote

Pension / Profit Sharing Retirement Plan Contact

Do you have questions about group disability insurance for your New York, CT, or NJ business?

Call Us 1-800-498-1819

Contact Us

Private Exchange

About Us

Privacy Statement

Disclaimer / Legal

Site Map

Personal Insurance

Physician Search

Group Insurance

Online Insurance Forms

Resources

Insurance Carriers

Quote Forms

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 disability insurance coverage which is driven by a total commitment to service.

[ Home ]

© 2002, OasisEarth Internet Group, All Rights Reserved