Extended Care

Quote Request

For quotes on Medicare Supplements, Final Expense, Dental, Hospital Indemnity, or Advantage Plans you can log into our CSG Quoting Tool!


If you do not have an account please use the form below to submit a quote request.

Extended Care Quote Request

Please fill out the following information to request a Long Term Care, Hybrid-LTC, Short Term Care, or other Extended Care options.

If you would like to pre-screen your client please complete and submit our Pre-Screen Form via fax or email.

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The information on this site is for licensed insurance agents and brokers only.  If you are not an insurance professional, please do not rely on this information.  Instead, refer questions to a licensed insurance professional.  This material has been prepared for informational purposes only and should not be relied upon for accounting, legal, tax or investment advice.  Some programs are not available in all states.