Florida Voluntary
Supplemental
Insurance Quote
We provide comprehensive Florida Voluntary
Supplemental Insurance coverage services in
south Florida and throughout the Sunshine State!
Landmark Insurance Agency
of Delray Beach, FL offers
comprehensive commercial
insurance coverage options
and experienced business
insurance services throughout
Florida.
Contact us about Florida
Commercial Auto, Business
Property, Apartment
Building, and Condo
Association Insurance at
(561) 496-2408.
We are a Delray Beach, FL insurance agency offering affordable Florida
voluntary workplace supplemental insurance policy quotes in the
following cities and counties: Boynton Beach, Gulf Stream, Boca Raton,
Lantana, Rainbow Lakes, Atlantis, Lake Worth, South Palm Beach,
Palm Springs, Greenacres, Wellington, Haverhill, Palm Beach, Golden
Lakes, Riviera Beach, Glen Ridge, West Palm Beach, Lake Park, Royal
Palm Beach, Jupiter, Coral Springs, Fort Lauderdale, Parkland, Coconut
Creek, Margate, North Lauderdale, Lighthouse Point, Hillsboro Beach,
Deerfield Beach, The Hamptons, Highland Beach, Weston, Plantation,
Playland Isles, Melrose Park, Lauderhill, Sunrise, Tamarac, Wilton
Manors, Oakland Park, Lauderdale Lakes, Sea Ranch Lakes, Villages
of Oriole, Pompano Beach, Lauderdale-by-the-Sea, Boca West, Boca
Pointe, Juno Beach, North Palm Beach, Loxahatchee, Belle Glade,
Palm Beach Shores, South Miami, Cutler Ridge, Princeton, Perrine,
Naranja, Homestead, Florida City, Leisure City, Richmond Heights,
Pinecrest, Howard, Coral Way Village, Westchester, Westwood Lakes,
Brownsville, Sweetwater, Key Biscayne, North Bay Village, Miami
Beach, Miami Springs, Virginia Gardens, Hialeah, El Portal, Miami
Shores, Medley, Indian Creek, Surfside, Bal Harbour, North Miami,
Biscayne Park, Pinewood Park, Opa Locka, Bunche Park, Hialeah
Gardens, Palm Springs North, Carol City, Norland, Ojus, Miami Lakes,
Biscayne Gardens, Hallandale, Sunny Isles Beach, Golden Beach,
Aventura, Uleta, Miramar, Pembroke Pines, North Miami Beach,
Hallandale Beach, Ives Estates, Pembroke Park, Coral Gables, Kendall,
Dania Beach, Cooper City, Davie, West Miami, Hollywood, Broward
County, Martin County, Palm Beach County, and Miami-Dade County,
FL. We can also offer our Florida supplemental health insurance
coverage quotes throughout the sunshine state, including Miami,
Orlando, Tampa, and Jacksonville, FL.
Business Name:    
Premises Address:
City:     Florida
Zip Code:
Contact Name:
Contact Title:   
HR Manager Name (if different):
Phone #:    Ext #:
Fax:    Years in Business:
Email Address: (Required) 
Description of Operations or SIC code:

Current Insurance Company: 
Policy Expiration Date:          (mm/dd/yyyy)

Florida Employee Information:
Do you currently offer supplemental insurance benefits to employees?
Supplemental Insurance Coverage For:
How many employees to be insured:    

Florida Supplemental Insurance Coverage Desired:
(check as many boxes as desired)
Cancer Insurance
Accident Insurance
Hospital Indemnity Insurance
Heart / Stroke Insurance
Critical Illness Insurance
Disability Insurance
Term Life Insurance
Universal Life Insurance
Limited Benefit Medical Insurance
Indemnity Medical Insurance
Dental Insurance
Vision Insurance
Other Supplemental Insurance

Has any employee to be insured experienced serious health
problems during the last 3 years? Explain issue(s) below.


Additional Question or Comment:



Click on the "Submit Quote Information" button below to send
your Florida Supplemental Insurance quote request.**

**Information received from this Florida Supplemental Insurance quote
request form sent to Landmark Insurance Agency 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 Florida supplemental 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 your business to a Florida Supplemental
Insurance policy. We are licensed in Florida.


In addition to a Florida
Voluntary Group
Supplemental Insurance
quote, we also offer
affordable Commercial Auto
Insurance plan quotes.
Florida Voluntary Supplemental Insurance Quote Form
LANDMARK
Insurance Agency, Inc.
Your Florida Supplemental Insurance
Quote Source Since 2000
Business Information:
(Individual & Group)
Florida Business
Insurance Quotes
Individual & Group
Voluntary Supplemental
Insurance Quote
Landmark Insurance Agency
4975 W. Atlantic Avenue
Delray Beach, FL 33445
Palm Beach County, Florida
(561) 496-2408
Fax: (561) 496-7740
Your Florida Supplemental
Health Insurance Source
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