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Request a Quote

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Home » Customer Service » Request a Quote

Request a Quote
November 18, 2013by picadesign
  • We want to make it as easy as possible for you to get a fast, accurate insurance quote.

    Let's talk: The most accurate insurance quotes require a personal conversation. When possible, we’ll be in touch the same business day for forms submitted Monday through Friday from 8 a.m. to 4:30 p.m. and the next business day for forms submitted during the evening or on the weekend (holidays excluded).

    Please remember that insurance coverage cannot be bound or changed via this website form. We must talk with you in person.

  • Home Insurance

    There is no substitute for a personal conversation. This form will help us start a home insurance quote for you.

    When possible, we’ll be in touch the same business day for forms submitted Monday through Friday from 8 a.m. to 4:30 p.m. and the next business day for forms submitted during the evening or on the weekend.

    Please remember that insurance coverage cannot be bound or changed via this website form.
 We must talk with you in person.

  • Car Insurance

    There is no substitute for a personal conversation. This form will help us start a car insurance quote for you.

    Whenever possible, we’ll be in touch the same business day for forms submitted Monday through Friday from 8 a.m. to 4:30 p.m. and the next business day for forms submitted during the evening or on the weekend.

    Please remember that insurance coverage cannot be bound or changed via this website form.
 We must talk with you in person.

  • Flood Insurance

    There is no substitute for a personal conversation. This form will help us start a flood insurance quote for you.

    Whenever possible, we’ll be in touch the same business day for forms submitted Monday through Friday from 8 a.m. to 4:30 p.m. and the next business day for forms submitted during the evening or on the weekend.

    Please remember that insurance coverage cannot be bound or changed via this website form.
 We must talk with you in person.

  • Business Insurance

    There is no substitute for a personal conversation. This form will help us start a business insurance quote for you.

    Whenever possible, we’ll be in touch the same business day for forms submitted Monday through Friday from 8 a.m. to 4:30 p.m. and the next business day for forms submitted during the evening or on the weekend.

    Please remember that insurance coverage cannot be bound or changed via this website form.
 We must talk with you in person.

  • Marine Insurance

    There is no substitute for a personal conversation. This form will help us start a marine insurance quote for you.

    When possible, we’ll be in touch the same business day for forms submitted Monday through Friday from 8 a.m. to 4:30 p.m. and the next business day for forms submitted during the evening or on the weekend.

    Please remember that insurance coverage cannot be bound or changed via this website form.
 We must talk with you in person.

  • Benefits/Health Insurance

    There is no substitute for a personal conversation. This form will help us start a benefits/health insurance quote for you.

    Please note that the open enrollment period for individual health insurance under the Affordable Care Act for 2021 closed on Dec. 15, 2020. Until the next open enrollment period, you can enroll only under a special exception, for which we refer you to healthcare.gov

  • This form will help us start a travel or trip insurance quote for you.

    Whenever possible, we’ll be in touch the next business day for all forms submitted.

    A trip insurance policy covers the non-refundable costs of your trip if you’re unable to take your vacation or have to interrupt your trip and come home early. The coverage automatically embeds some extras like medical coverage, lost baggage, and missed connection benefits.

    IMPORTANT NOTICE: A Cancel for Any Reason benefit is an upgrade which requires purchase of a Preferred-level plan and carries additional cost. This benefit must be purchased within 21 days of making your initial trip deposit for any aspect of your trip, be it lodging, a car rental or reservations for travel. A Cancel for any Reason benefit allows you to cancel for any reason not listed on the Certificate of Coverage and you’d receive a 75% refund of your insured amount.

    Cancellation due to travel restrictions or other circumstances related to the Coronavirus are not a covered reason to cancel under these plans unless you have the Cancel for Any Reason benefit. However, illness, as certified by a doctor, may be a covered reason for cancellation.

    Please read your plan documents carefully and be aware that this benefit is not available for residents of the states of New Hampshire, New York and Washington.

  • This form will help us start a travel or trip insurance quote for you.

    Whenever possible, we’ll be in touch the next business day for forms submitted Monday through Friday from 8 a.m. to 4:30 p.m. and the next business day for forms submitted during the evening or on the weekend.

    IMPORTANT NOTICE: A trip insurance policy covers the non-refundable costs of your trip if you’re unable to take your vacation or have to interrupt your trip and come home early. The coverage automatically embeds some extras like medical coverage, lost baggage, and missed connection benefits.

    A Cancel for Any Reason benefit is an upgrade which requires purchase of a Preferred-level plan and carries additional cost. This benefit must be purchased within 10 days of making your initial trip deposit for any aspect of your trip, be it lodging, a car rental or reservations for travel. A Cancel for any Reason benefit allows you to cancel for any reason not listed on the Certificate of Coverage and you’d receive a 75% refund of your insured amount.

    Cancellation due to travel restrictions or other circumstances related to the Coronavirus are not a covered reason to cancel under these plans unless you have the Cancel for Any Reason benefit. However, illness, as certified by a doctor, may be a covered reason for cancellation.

    Please read your plan documents carefully and be aware that this benefit is not to residents of the states of New York, New Hampshire and Washington.

  • Medicare Fact Finder

    There is no substitute for a personal conversation. This form will help us find a Medicare plan that’s right for you.

    You will notice this form does not ask for any personal information (date of birth, doctor’s names, prescription types, etc.). This is by design. Security of your personal information is very important to us. We can discuss this more when we meet or talk by phone.

    By submitting this form to Allen Insurance and Financial, you are agreeing to be contacted by a Licensed Sales Agent by email or phone call to discuss information about Medicare Insurance Plans. This is a solicitation for insurance.

  • Address
  • For travel/trip insurance, we will contact you by email.
  • Where is the home located?
  • What type of health coverage do you have now?
  • Do you travel often and need coverage that travels with you?
  • Please tell us what you want most in a Medicare plan.
  • By submitting this information, you are agreeing to be contacted by a Licensed Sales Agent by email or phone call to discuss information about Medicare Insurance Plans. This is a solicitation for insurance.
  • So we can serve you more effectively and efficiently, please tell us which of our locations is most convenient for you.
  • (separate by comma)
  • (must be within 15 months of today to get a quote)
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  • MM slash DD slash YYYY
  • (check box all that apply)
  • Type of business
  • Please tell us the type of business insurance coverage you are interested in.
  • Is this property:
  • Are you:
  • Where is the home located?
  • So we can serve you more effectively and efficiently, please tell us which of our location(s) is most convenient for you.
  • How did you learn about us?
  • This field is for validation purposes and should be left unchanged.

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© 2022 Allen Insurance and Financial. Securities and Advisory Services offered through Commonwealth Financial Network®, Member FINRA, SIPC, a Registered Investment Adviser. Fixed insurance products and services are separate from and not offered through Commonwealth Financial Network. This communication is strictly intended for individuals residing in the states of AZ, CA, CO, CT, DE, FL, HI, IN, LA, MA, MD, ME, MO, NH, NJ, NM, NY, PA, SC, TN, TX, UT, VA, VT, WA. No offers may be made or accepted from any resident outside these states due to various state regulations and registration requirements regarding investment products and services. Website design by Pica.
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