Insurance Quotes

Home Insurance

Your Name (required)

Your Email (required)

Your Phone (required)

Construction of the House

Block & Parcel & Physical address

Sum Insured – Replacement Cost

Year Built

Security Features e.g : Hurricane Shutters, Fire alarm, burglary alarm…

Inland / Canal / Ocean Front

Elevation above Sea Level

Losses

Owner occupied or rented

Do you wish to insure contents or personal effects, if so what value?

Home Insurance Contents

Your Name (required)

Your Email (required)

Your Phone (required)

Construction of the House

Block & Parcel & Physical address

Sum Insured – Replacement Cost

Year Built

Security Features e.g : Hurricane Shutters, Fire alarm, burglary alarm…

Inland / Canal / Ocean Front

Elevation above Sea Level

Losses

Owner occupied or rented

Do you wish to insure contents or personal effects, if so what value?

Health Insurance - Group

Your Name (required)

Your Email (required)

Your Phone (required)

Group size

Where did you hear about us?

Health Insurance - Individual

Your Name (required)

Your Email (required)

Your Phone (required)

Date of Birth

Sex

Are you currently insured?

Where did you hear about us?

Private Motor Insurance

Your Name (required)

Your Email (required)

Your Phone (required)

Year of the vehicle

Make of the vehicle

Model of the vehicle

Engine size

Value of the vehicle if seeking comprehensive insurance

Date of Birth

Any claims?

Previous insurer

Any claims for previous insurer?

Is the vehicle subject to a lien?

How long has the person been driving, and has their license ever been suspended or endorsed?

Has the engine been modified?

Soft top or hard top?

Use of vehicle e.g: Private / Commercial

Commercial Motor Insurance

Your Name (required)

Your Email (required)

Your Phone (required)

Year of the vehicle

Make of the vehicle

Model of the vehicle

Engine size

Value of the vehicle if seeking comprehensive insurance

Date of Birth

Any claims?

Previous insurer

Any claims for previous insurer?

Is the vehicle subject to a lien?

How long has the person been driving, and has their license ever been suspended or endorsed?

Has the engine been modified?

Soft top or hard top?

Use of vehicle e.g: Private / Commercial

Contractors All Risks

Your Name (required)

Your Email (required)

Your Phone (required)

Insured

Contractor

Years of Experience

Risk Address

The Contract: e.g. Private Dwelling, renovation, repairs

Contract Works Sum Insured

Construction

Policy Period: e.g. 3 Months, 6 Months & or 1Year

Would you need cover for Sub-Contractors?

Would you like to add Public Liability?

Business Insurance

Your Name (required)

Your Email (required)

Your Phone (required)

Name of person or legal entity to be insured:

Description of Business or Profession:

Business Address:

Sums Insured:

Building $ :

Furniture, Fixtures & Fittings $ :

Stock $ :

Plant & Equipment $ :

Would you like cover for theft?

If so, do the premises have?

Public Liability?

Limit of cover required:

Do you wish to insure products liability?

If so what is the annual sales:

Workmen’s compensation/employers liability required?

If so give estimated annual wages for:

Managerial & administrative:

Others: (describe categories):

Life Insurance

Your Name (required)

Your Email (required)

Your Phone (required)

Date of Birth

Sex

Amount of Insurance needed?

Do you smoke?

What is the purpose of the life insurance?

Where did you hear about us?

Annuities Insurance

Your Name (required)

Your Email (required)

Your Phone (required)

Date of Birth

Sex

Amount to be invested?

Where did you hear about us?