The Coastal Agency - Progressive Employee Benefits
The Coastal Agency provides your familiy medical coverage and medical insureance in the state of Connecticut
At the Coastal Agency, we reevaluate your benefit package every year to keep up with changes in the insurance market and your business.
Health Insurance, Life Insurance, Short and Long Term Disability, Dental Insurance, Accident Insurance, and Cancer Insurance
The Coastal Agency - For the fastest and most accurate insurance quote in Connecticut.
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• Have I seen my broker recently?
• Did they have any new ideas to help my business?
• Do they care about my employees' well being?
• Are they sharp, informed, and dedicated to my goals?
• Do they meet one-on-one with my employees to explain costs and benefits of our insurance options?


The Coastal Agency is an independent agency serving individuals and small employer groups in Connecticut. If you feel it's time to rethink your insurance, then call us for a free consultation today or simply fill out the Quote Form below.

For the fastest and most accurate insurance quote, please provide as much information possible in the form below. This information will be kept confidential and will be used for quote purposes ONLY!

GENERAL INFORMATION

* Name of Business or Individual:
* Contact Name:
Street Address:
* City:
State:
Zip:
* Business Phone:
Best Time to Call:
* Email:

TYPE OF BUSINESS: please check all that apply

Business & Professional Services
Computer Technology Products & Services
Contracting & Special Trade
Non-Profit
Manufacturing
Recent Graduate
Retailing Goods to Consumers
Retiree (Medicare Supplements)
Self-Employed
Wholesaling Goods to Distributors
Other

NUMBER OF EMPLOYEES:

COVERAGE DESIRED: please check all that apply

Medical
Dental
Short-term Disability
Life
Long-term Disability
Medicare Supplements
Other

HOW DID YOU HEAR ABOUT US:
Internet
Mailer
Friend/colleague
Chamber of Commerce
Other
 
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