What ShelterPoint needs for Quotes:
All policies are underwritten and administered by either ShelterPoint Life Insurance Company (principal office in Garden City, NY), or ShelterPoint Insurance Company, a FL-domiciled carrier,
depending on the state.
contact underwriting
for details.
- Not all products are available in all states and from each entity in the family of ShelterPoint companies.Click here to view availability by state.
- For information about which company is licensed in your state, please visit our "Geographic & Jurisdiction Notice".
Statutory Insurance
- number of male employees/number of female employees
- If group is currently covered by NJ Dept. of Labor:
- Notice of Employer Contribution Rates (3 consecutive AC174.1 forms required)
- if group is currently covered by private carrier:
- three years premium & claims experience
- Include census with wages and Gender
- E-mail RFP
- Request quote online
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Other Group Benefits
- Company name and address
- Nature of business
- SIC Code
- Dependent status:
- single [s]
- employee/spouse [ES]
- employee/child(ren) [EC]
- family [FF]
- Plan design (number of requested units)
- Quote now!
- name
- date of birth/age
- gender
- date of employment
- job title
- salary
- E-mail RFP
- desired plan number
- number of singles
- number of families
- Quote now!
| | Click here to contact our Medical Gap representative Simon Klarides and receive/download a complimentary copy the OptiMed Elite Medical Gap brochure. - name
- date of birth/age
- gender
- date of employment
- job title
- salary
- E-mail RFP
- desired plan design
- participation level
- desired funding option
- dependent status:
- single [s]
- employee/spouse [ES]
- employee/child(ren) [EC]
- family [FF]
- Quote now!
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* For groups of 100 or more employees, we require premium, claims, rate history,
most recently paid bill and in-force plan booklet, if applicable.
For further information, please contact our underwriting staff at 800-365-4999.
or contact underwriting