Quotes

Online Quotes

Online quoting is a great way to find an insurance plan and expedite the decision process all while using the web. Click on either the individual or group link below to start the process. Quotes can take between 5 and 10 minutes. If you have any problems or questions while using our quoting engine please contact us at mark@carpenterbenefits.com

Please use the form below to request a life insurance quote. If you feel you are not comfortable answering this questions on our website, please give Mark a call at 650-590-1155.

Your Name (required)

Your Email (required)

Your Phone # (required)

Date of Birth (required)

Amount of Insurance Needed?

What Medications are you taking?

Are you a smoker?  yes no

Did any immediate family member die of cancer or heart disease?  yes  no

If so, who?

Additional Message

Company Name

Address

Company Contact

Phone Number

Fax Number

Email

Effective Date

About your Employees (for more than 5 employees please contact us for a complete form)

Employee #1

Name

Age

Gender
 male female

Home Zip

Dependent Status*

Employee #2

Name

Age

Gender
 male female

Home Zip

Dependent Status*

Employee #3

Name

Age

Gender
 male female

Home Zip

Dependent Status*

Employee #4

Name

Age

Gender
 male female

Home Zip

Dependent Status*

Employee #5

Name

Age

Gender
 male female

Home Zip

Dependent Status*

Please help us fight SPAM by entering the contents of the image into the text box

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* EE - Emp Only ES - Emp & Spouse EC - Emp & Child(ren) FA - Emp & Family

 

Carriers

Carpenter Benefits has a long standing relationship with their carriers, some of which are represented here. You can navigate to the carrier corporate website by clicking on the logo below.