We offer affordable universal, variable, and whole life insurance
policies from quality insurance companies to residents in the following
Connecticut counties and cities: Fairfield County, New Haven County,
Litchfield County, Middlesex County, New London County, Hartford
County, Tolland County, Windham 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, New Haven, Hartford,
Torrington, Waterbury, Meriden, New Britain, New London, Norwich,
Manchester, East Hartford, Suffield, Granby, West Haven, West
Hartford, Branford, East Haven, Hamden, Woodbridge, Orange, North
Haven, Groton, Rocky Hill, Newington, Wethersfield, Glastonbury,
Bloomfield, Blue Hills, South Windsor, Naugatuck, New Hartford,
Chesire, East Lyme, Old Mystic, Wallingford, Southington, Middletown,
Bristol, Laurel Beach, Litchfield, Pleasure Beach, Mystic, North
Westchester, Double Beach, Willimantic, Storrs, Canaan, East Windsor,
Vernon, South Canaan, Putnam, Guilford, Windham, South Britain,
Willington, Windsor, East Hampton, Brooklyn, and Westchester, CT.
In addition to a Connecticut Life Insurance Quote, we can also offer
you affordable Health Insurance premiums or choose another CT
individual or family insurance coverage from the menu below.
"Your local Connecticut Family Life Insurance agent specialist!"
Connecticut Life
Insurance Quote
Information received from this Connecticut life insurance quote form sent to Stamford 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 life insurance 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 you to Connecticut Life Insurance.
We are licensed in
Connecticut, New York, New Jersey, Massachusetts, and Rhode Island. We will not provide
quotes for other states.

Full Name:          
Home Address:
City:     State:     Zip Code:
Email Address: (Required) 
Home Phone:   Work Phone:   Ext.
How to Contact You:
Date of Birth:              (mm/dd/yyyy)
Gender:    Height:  ft. 
Weight:    Do you smoke?

Do you currently have life insurance?   
Type of life insurance currently owned:
Current Premium:$  per month




Who will be insured:                     
Type of life insurance desired:       
Amount of Life Insurance Desired:    Other Amount:$ 
Benefit Period Desired:                 

Has anyone to be insured had health problems during the past 2 years
or been diagnosed with a serious illness?
If "Yes", please list information below.


Does anyone to be insured have a hazardous job? Yes No
Is anyone to be insured an active member of the military reserves? Yes No

Additional Information or Comments



Click on the "Submit Quote Information" button below to send
your Connecticut Life Insurance quote request.



Applicant Information:
Life Insurance Coverage Information:
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Obtain information about our affordable life insurance coverages.
Connecticut Life Insurance Specialists
Life Insurance Quote
Personal Insurance
Stamford Insurance Group
22 Knapp Street
Stamford, CT 06907
203-359-0880
Fax: 203-359-9443

SIG Insurance Agency
1157 Highland Ave., Ste 109
Cheshire, CT 06410
203-250-1006
Fax: 203-250-0190
SIG Insurance Agency
84 Bridge Street
East Windsor, CT 06088
860-627-9418
Fax: 860-627-9213
4 Connecticut Locations
SIG Insurance Agency
124 Fort Hill Road
Groton, Connecticut 06340
860-445-8447
Fax: 860-446-0848
"We Are Your Connecticut
Life Insurance Agent"
Now with 4 Connecticut locations to serve you...Stamford, Cheshire, East Windsor, & Groton