Connecticut Group Health Insurance Quote

In addition to Connecticut Group Health Insurance Quotes, we can also offer
your business affordable Group Life Insurance premiums or choose another
CT commercial or group insurance coverage from the menu below.

Business Name:
Premises Address:
City:     State:     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)

Do you currently offer health insurance benefits to employees?
Group Health Insurance Coverage For:
How many employees to be insured:

HMO Health Insurance   HMO Co-Pay Amount Desired:
PPO Health Insurance     PPO Deductible Amount Desired:
POS Health Insurance     POS Co-Pay Amount Desired:

Choose Benefit Options:
Group Life Insurance Coverage:
Group Dental Insurance Coverage:
Group Vision Insurance Coverage:

Has any employee to be insured experienced serious health
problems during the last 18 months?
If "Yes", please list information below.

Additional Information or Comments

Click on the "Submit Quote Information" button below to send
your Connecticut group health insurance quote request.

Connecticut Group Health Insurance Coverage Desired:

"Your local Connecticut group health insurance specialist!"

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Connecticut Group Health

Insurance Quote

Connecticut Business Information:

Information received from this Connecticut group health 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 group health 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 group health insurance.
We are licensed in Connecticut, New York, New Jersey, Massachusetts, and Rhode Island. We
will not provide quotes for other states.

Employee Information:

"We Are Your Connecticut

Group Employe Health

Insurance Agent"

We offer affordable employee benefits insurance premiums to
businesses 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.

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

Now with 4 Connecticut locations to serve you...Stamford, Cheshire, East Windsor, & Groton

Connecticut Group Health Insurance

Commercial Insurance

SIG Insurance Agency

124 Fort Hill Road

Groton, Connecticut 06340

860-445-8447

Fax: 860-446-0848