Connecticut Group
Group Health
Insurance Quote
We provide affordable Group Health Insurance services to businesses in Connecticut!
In addition to Group
Health Insurance for your
Connecticut business, we
also offer affordable
Employee Life Insurance
plan premiums or choose
another CT business
insurance coverage from
the list below.
We are your local Fairfield County, CT insurance agency, offering affordable
Connecticut group health insurance quotes to businesses in the following
Connecticut cities and counties: 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, Westchester, and everywhere else in New Haven County, Litchfield
County, Middlesex County, New London County, Hartford County, Tolland
County and Windham County, CT.
**Information received from this CT Group Health Insurance plan quote request form
sent to the William Malloy 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 group
health insurance policy plan 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
Connecticut business to Group Health Insurance. We are licensed in Connecticut
and will not provide group health insurance quotes for other states.

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 Group Health Insurance   HMO Co-Pay Amount Desired:  
PPO Group Health Insurance     PPO Deductible Amount Desired:
POS Group Health Insurance     POS Co-Pay Amount Desired:    
Fee-for-Service Insurance          Fee-for-Service Deductible:         


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

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



Additional Information or Comments



Click on the "Submit Quote Information" button below to send your
Connecticut Employee Health insurance quote request.**



Connecticut Business Information:
Do you have questions about
employee health insurance?
Copyright 2004-2010 William Malloy Insurance Agency, Inc.
All rights reserved
William Malloy
Insurance Agency
87 Glenbrook Road
Stamford, Connecticut 06902
(203) 351-9898
Fax: (203) 351-9880
"Your Fairfield County, CT
Group Employee
Health Insurance Source"
Fairfield County Connecticut Insurance Agency
Malloy Insurance Agency
Connecticut Small Business
Group Health Insurance Specialists
Connecticut Business
Insurance Quotes
Employee Health
Insurance Quote
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