Health – Kelly Assurance

Health Insurance Quote Form

Health insurance helps protect you from high medical care costs. It is a contract between you and your insurance company. You buy a plan or policy, and the company agrees to pay part of your expenses when you need medical care. Many people in the United States get a health insurance policy through their employers.

Please fill out the form below and we’ll have an agent reach out to you as soon as possible. Thanks

First Name

Last Name

Street

City

State

ZIP/Postal Code

Primary Phone Number

Alternate Phone Number

Date Of Birth

Gender

Height

Weight

Tobacco used (Y/N)

Spouse First Name

Spouse Last Name

Date Of Birth

Gender

Height

Weight

Tobacco used (Y/N)

Number of children to be covered(1-12)

Ages of children (Separated by commas)

How did you hear about us?

The information on this website is not intended to be exhaustive nor should any discussions or opinions be construed as legal advice

– it is intended for educational and/or informational purposes only.

Kelly Assurance not only protects your company from major risks, we also take steps to potentially reduce and eliminate losses before they occur.

We aim to migrate your risks through proactive education, strategy calls, and loss control programs.

Once you become a client at Kelly Assurance, you’ll have the on support of a dedicated Kelly Assurance service team staffed with licensed professionals who know your business.