The DeSimone Agency
Serving ALL of New York State
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Life Insurance Quote Request
I am interested in...
Term Life Insurnace
Permanent Life Insurance
Term life insurance exprires after a pre-selected period of time. After that term is up, the policy expires and there is no more life insurance coverage. Permanent life insurance never expires and lasts until the insured's death or age 121.
Length of Term
How long would you like the term life insurance policy to last?
Amount of Life Insurance
Other amounts are available. Please let us know if you would prefer the policy in a different amount.
Monthly Budget for Life Insurance
Not sure what amount of life insurance you can afford? Let us know what you are looking to spend on life insurance and we can customize the amount of the policy.
Date of Birth or Age
Life insurance rates are based on health and age. The younger you are when you start your life insurance, the less money you will be paying.
Do you smoke cigarettes?
I've quit within the past 12 months
Health & Additional Information
Do you have any health problems? Are you on any medications? All these factors affect the rating of life insurance premiums
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