Email: dmathews@ma-insurance.com | Address: 840 Liberty Street, Springfield, Massachusetts 01104
 
 
 
 
Sullivan Keating & Moran Insurance Agency of Springfield Inc.
 
INSURANCE AGENCY OF SPRINGFIELD INC.
 
It's a good policy to know your agent!
 
 
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Online Quotes

Life Insurance Quote Form


General Information

 
 
 
 
 
 
 
 
 
 
 
I am requesting information about :
 
 
 
 
 
Insurance Amount:
 
 
 
 
Duration:
 
 
 
 
 
 
Date of Birth:
 
 
 
 
 
 
 
Gender:
 
 
 
 
Tobacco Use (past 3 yrs):
 
 
 
Health Class:
 
 
 
 
See Below to Determine Health Class
Determine Your Health Class
Preferred Plus.Excellent health. Good cholesterol ratios. No medications and no premature family diagnosis of heart disease or cancer.
Preferred. Good health. Normal weight. No medications and no premature family death of heart disease or cancer.
Standard. Fair health. Some major health conditions allowed.
Sub-Standard. Poor health or obese. If insurable, your premium could be several times more than standard rate.