Critical Illness Benefit Group, Critical Illness Insurance and Disability Insurance. Critical Illness Benefit Group, Critical Illness Insurance and Disability Insurance.

Critical Illness Benefit Group, Critical Illness Insurance and Disability Insurance.

Critical Illness Benefit Group Ltd.

200 Saw Mill River Road

Hawthorne, NY 10532

800-986-0630

 

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Request a Quote

It's easy to get a quote for Critical Illness Insurance. Get the coverage you need to protect you and your loved ones in case of a critical illness preventing you from working. Simply fill out the quote request form below.
 Contact Information
First Name:
Last Name:
State/Province
Phone:  ext.
Best time to call:
E-mail:
 Personal Information
Date of Birth:
, Year (ex. 1950)
Gender:      Male   Female  

Have you used tobacco products or nicotine substitutes in the past 12 months?

 

Cigarettes:  Cigars: Chew/snuff:
 Yes   No  Yes   No  Yes   No
Health History:
 Employment Information

 

Are you self employed?
 Yes   No  

If "YES" are you?

 

Annual Income:

 

Less than

30,000

30,000 to

60,000

60,000 to

100,000

100,000 to

150,000

150,000 to

250,000

250,000 to

400,000

400,000 to

600,000

600,000 to

1,000,000

over

1,000,000

What is your Occupation? Please NotePlease note: Physicians please provide your specialty.
 Disability Coverage Details
Do you have any existing disability income coverage?
 Yes   No
If "YES,"  Type of coverage:
 Group   Individual  
  Benefit amount per month? 
$ (ex. 5000)
  Benefit Period:  
  (ex. 6 months)
Comments/Questions:


 

Critical Illness insurance pays a lump sum tax-free benefit upon the diagnosis of Cancer, Heart Attack, Stroke and other covered illness or medical procedure.  Most importantly, the cash benefit is paid directly to you - to use any way you choose!

 

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