Disability Only -- Protecting Your Income From Injury

Disability insurance helps protect you from an interruption of your income due to an accident or medical emergency. Naturally, no one expects an accident to take them out of commission, even for a short time. But a good disability policy provides protection just in case!

Most people don't realize the risk of becoming disabled, permanently or temporarily, at some point in their lives. But the reality is…

If you are now age…	The risk of becoming disabled for over 30 days before age 65 is...
30	75%
35	72%
40	69%
45	64%

Source: 1985 Commissioner's Disability Income Table

Quick Quote Form:
Name:
City:
State:
Home Phone:	() -
Work Phone:	() - ext.
Best time to call:
E-mail:
Date of Birth:
Gender:	Male Female
Do you use tobacco products or nicotine substitutes?	Yes No
Are you a city, state, or federal employee?	Yes No
Annual Income-salaried or self-employed:	per year.
Job Description:
Coverage desired:	per month.
Benefits to begin	after disability.
Pay benefits