Take the first step! Please answer this quick survey. It will take less than 5 minutes to complete.

Full Name *

Phone *

Email *

What is your sex?

Male

Female

What is your height and weight?

Height

Weight (lbs)

Have you used tobacco or nicotine products in the last 3 years?

Yes

No

When is your birthday? We're just calculating your age and verifying your identity

Date of birth

Has a biological parent or sibling died of cancer or heart disease prior to the age of 60?

Yes

No

What is your annual household income?

How many children do you have?

What's your remaining mortgage balance?

Have you used marijuana in the last year?

Yes

No

Have you used cocaine, heroin, narcotics, hallucinogens, or other controlled substances (other than as prescribed by a medical professional) in the last 10 years?

Yes

No

Have you been counseled or treated for drug or alcohol abuse in the last 10 years?

Yes

No

In the last 10 years, have you been:

Convicted of a felony

Convicted of a misdemeanor

Convicted of a DUI/DWI

Put on probation or in a parole program

Charged with results still pending for any criminal activity or a DUI/DWI

None Of These

Has your weight changed by more than 10 pounds in the last year?

Yes

No

Has a biological parent or sibling been diagnosed with Huntington’s disease or Lynch syndrome?

Yes

No

Have you consulted a medical professional in the last 5 years for anything that has not already been disclosed?

Yes

No

In the last 5 years, has a medical professional recommended any medical consultation, treatment, or test (excluding HIV tests), or have you completed any tests (excluding HIV tests) that have not already been disclosed?

Yes

No

Are you currently taking any prescription medication for a condition that hasn't already been disclosed?

Yes

No

Has a medical professional ever diagnosed or treated you for AIDS, ARC, and/or HIV infection?

Yes

No

What is your address?

Address

City

State

The New Life Insurance your insurance company doesn’t want you to know about.

Our Family Benefits

We recognize that insurance may be frustrating and complex, and we want our clients to feel at ease, which is why our staff members go out of their way to listen to clients, examine their specific needs, and explain the subtleties of their insurance coverage.

What's the end result? A customized insurance plan tailored to each client's individual needs. We know that "cheapest" is not always "optimal" for a particular case based on our prior experience with insurance claims.

Coverage for the entire

family

Family health insurance policies cover all members of the family under one plan. You can insure yourself, your spouse, your dependent children, your dependent parents, and even your in-laws. In fact, several plans allow you to include your extended family in your coverage.

The premiums are

affordable

When compared to individual plans for each family member, the premium for a family medical insurance plan is significantly less. As a result, the plan provides reasonable coverage while still being easy on your wallet.

Every covered member gets high coverage

Any family member who becomes ill can access the total money insured under the family floater policy. As a result, each family member has total access to the sum insured, and if you choose an optimal sum insured level, you can get a lot of coverage.

TESTIMONIALS

I'd want to express my gratitude to Our Family Benefits. They are without a doubt the most friendly and professional insurance company with which I have ever worked with."

Sandra Martinez