We provide comprehensive Group Health
Insurance services throughout New Jersey!
Your Life Solutions of Long
Valley, NJ offers
comprehensive Commercial
Insurance coverage options
and experienced business
insurance services throughout
New Jersey.
Contact us about Property,
Group Health, Auto, and
Liability Insurance for your
New Jersey business.

In addition to Group Health
Insurance, we also offer
affordable Group Disability
Insurance plan services.
We are your local northern New Jersey insurance agency, offering
comprehensive group health insurance services to businessess in the following
cities and counties: Succasunna, Boonton, Boonton Township, Brookside,
Budd Lake, Butler, Cedar Knolls, Chatham, Chester, Convent Station, Denville,
Dover, Dover Annex, East Hanover, Fayson Lakes, Flanders, Florham Park,
Gillette, Green Village, Greystone Park, Hibernia, High Crest, Ironia, Kenvil,
Kinnelon, Lake Hiawatha, Lake Hopatcong, Lake Intervale, Landing,
Ledgewood, Lincoln Park, Lindy Lake, Long Valley, Lower Montville, Lyonsville,
Madison, Mendham, Meriden, Millington, Mine Hill, Montville, Montville
Township, Morris Plains, Morristown, Mount Arlington, Mount Freedom, Mount
Olive, Mount Tabor, Mountain Lakes, Netcong, New Vernon, Parsippany,
Pequannock, Pequannock Township, Picatinny Arsenal, Pine Brook,
Pinebrook, Pompton Junction, Pompton Plains, Powerville, Ralston, Randolph,
Riverdale, Rockaway, Rockaway Valley, Schooleys Mountain, Stirling, Tabor,
Taylortown, Towaco, Troy Hills, Wharton, Whippany, Stanhope, Hopatcong,
Espanong, Hurdtown, Cranberry Lake, Andover, Greendell, Woodport,
Springdale, Oak Ridge, Milton, Sparta, Lake Lenape, Newton, Ogdensburg,
Saxton Falls, Johnsonburg, Allamuchy, Vienna, Hackettstown, Beattystown,
Marksboro, Hope, Townsbury, Washington, Newark, Elizabeth, Rahway,
Colonia, Iselin, Avenel, Woodbridge, Port Reading, Carteret, Perth Amboy,
Fords, South Amboy, Metuchen, Plainfield, Dunellen, South Plainfield, Green
Brook, Fanwood, North Plainfield, Cranford, Scotch Plains, Westfield, Union,
Millburn, Springfield, Mountainside, Gillette, Warren, Watchung, Stirling,
Millington, Middlesex, Martinsville, Piscataway, Edison, New Brunswick,
Highland Park, Somerset, Milltown, South River, Bound Brook, Somerville,
Bridgewater, Fairview, Ridgefield, Fort Lee, Leonia, Palisades Park, Englewood
Cliffs, Englewood, Bergenfield, Teaneck, Paramus, Bogota, Ridgefield Park,
Little Ferry, Hackensack, Maywood, Teterboro, South Hackensack, Rochelle
Park, Moonache, Lodi, Hasbrouck Heights, Saddle Brook, Garfield, Elmwood
Park, Woodridge, Carlstadt, East Rutherford, Lyndhurst, Rutherford, Wallington,
Passaic, Clifton, Paterson, Totowa, West Paterson, Little Falls, Great Notch,
North Caldwell, Cedar Grove, Verona, Montclair, Bloomfield, West Orange, Glen
Ridge, Belleville, Nutley, Kingsland, North Arlington, Kearney, Harrison, East
Orange, East Newark, Orange, Irvington, South Orange, Hillside, Townley,
Livingston, Wayne, Morris County, Sussex County, Somerset County, Pasaic
County, Bergen County, Hunterdon County, Union County, and Warren County,
NJ. We also offer group health insurance services throughout the state of New
Jersey, including the greater New York City area.
New Jersey Group Health
Insurance Quote
Business Name:    
Premises Address:
City:
State:  (New Jersey or New York)
Zip Code:
Contact Name:
Phone #:    Ext #:
Fax:    Years in Business:
Email Address: (Required) 
Description of Operations or SIC code:

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

New Jersey Employee Information:

Do you currently offer health insurance benefits to employees?
Group Health Insurance Coverage For:
How many employees to be insured:    

New Jersey Group Health Insurance Coverage Desired:

HMO Group Health Insurance   HMO Co-Pay Amount Desired:  
PPO Group Health Insurance     PPO Deductible Amount Desired:
POS Group Health Insurance     POS Co-Pay Amount Desired:    
Fee-for-Service Insurance          Fee-for-Service Deductible:         


Choose Benefit Options:
Group Dental Insurance Coverage:
Group Vision Insurance Coverage:
Group Life Insurance Coverage:    

Has any employee to be insured experienced serious
health problems during the last 18 months?


Additional Question or Comment:



Click on the "Submit Quote Information" button below to send
your New Jersey Group Health Insurance quote request.**


**Information received from this New Jersey Group Health Insurance quote
request form sent to Your Life Solutions, 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 health 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 Group Health Insurance
in New Jersey. We are licensed in New Jersey, New York, and will
not provide quotes for other states.


New Jersey Business Information:
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All rights reserved
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New Jersey Insurance Agency
Group Health
Insurance Quote
New Jersey Business
Insurance Quotes
Also, self funding the
Prescription Drug portion
of the Group Health Plan
can potentially result in
substantial health
insurance cost savings.
Contact us for information
and to setup a self funded
prescription drug plan.
Your Life Solutions