Group Long Term Care Insurance Quote NH

Gorman Insurance and Risk
Management Services of
Somersworth, NH offers
affordable Commercial
Insurance coverage options
and experienced business
insurance services
throughout New
Hampshire, southern
Maine, and Massachusetts.

Contact us about Group
Health Insurance toll free at
1-800-678-3431, as well as
Group Life services for
your NH, ME, or MA
business.

In addition to New
Hampshire Group Long
Term Care Insurance, we
also offer affordable
Group Disability
Insurance plan services.

We are your local southeastern New Hampshire, southern Maine insurance
agency, offering experienced group long term care insurance services to
businesses located in the following cities and counties: Somersworth,
Durham, Portsmouth, Dover, Rochester, Rollinsford, Barrington, Madbury,
Lee, Strafford, Farmington, Milton, Barnstead, Nottingham, Northwood,
Raymond, Newmarket, Newfields, Stratham, Rye, Hampton, Epping, Exeter,
Salem, Danville, Deerfield, West Rye, Derry, Chichester, South Barnstead,
Gilmanton, New Durham, Wolfeboro, Alton, Laconia, Berlin, Lebanon, East
Candia, North Hampton, Hanover, Littleton, Plymouth, Claremont, Newport,
Keene, Hampton, Rye Beach, Strafford County, Rockingham County,
Hillsborough County, Merrimack County, and Belknap County, NH. We also
offer group long term care insurance services throughout the state of New
Hampshire, including the Manchester, Nashua, and Concord area. Our
service area in southern Maine includes the following cities and counties:
South Lebanon, Kittery, Eliot, Berwick, Sanford, Blaisdell Corners,
Springvale, Emery Mills, Wells Beach, York Beach, Kittery Point,
Kennebunk, Saco, Biddeford, Alfred, Portland, Scarborough, Westbrook,
Waterboro, Shapleigh, Newfield, Buxton, Goodwins Mills, South Sanford,
Cape Elizabeth, South Portland, York County, and Cumberland County, ME.

Business Name:
Premises Address:
City:
State: (New Hampshire, Maine or Massachusetts)
Zip Code:
Contact Name:
Phone #:    Ext #:    Years in Business:
Email Address: (Required)
Description of Operations or SIC code:

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

Employee Information:
Do you currently offer long term care insurance to employees?
Want Long Term Care Insurance Coverage For:
How many employees to be insured:

Did any employee to be insured have health problems during
the past 18 months?
If "Yes", please list information below.

Additional Question or Comment:

Click on the "Submit Quote Information" button below to send your
New Hampshire Group Long Term Care insurance quote request.**

**Information received from this New Hampshire Group Long Term Care Insurance quote request form sent to Gorman Insurance and Risk Management Services, 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 long term care insurance policy 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 New Hampshire Group Long Term Care Insurance Policy. We are licensed in New Hampshire, Maine, Massachusetts, and will not provide quotes for other states.

New Hampshire Business Information: