Product & Service   |    Group Rate Quote   |    Home
 
     
    Need more information?
    Yes,
     
     
 
 Group/Individual Plans:
 
   ·   Health
   ·   Life
   ·   Mini-Meds
   ·   Disability
   ·   Dental
   ·   Vision
 
   ·   Rate Quote
   ·   About Us
   ·   Home
 
 Additional links:
 
   ·   Healthcare NEWS
   ·   Am. Assn of Health Plans
   ·   Nat. Assn for Self-Emp
   ·   Managed Care Online
   ·   Careguide (Seniors)
 
 Contact Us:
 
    101 Court House Plaza
    Elkton, Maryland 21921
    Phone: 410.392.2915
    Email Us:
 
 
Insurance Rate Quotes
For Individuals & Families
 
The following form is designed for families
and individuals. Click on the link (above to
request a group rate quote.
 
So that we may provide you with an accurate rate
quote, please submit the information listed below. We
do not ask for your street address and your information
will be kept confidential. For information about our Privacy
Policy, see the notes on the right.

If you have any questions, please feel free to contact us by phone (see below) or email us at:   Thank you for your interest!

SPECIAL NOTE:  Please keep in mind we are licensed in Maryland, Pennsylvania & Delaware.
 
Required items are marked with an asterisk  (*)
     
(*) Name:  
     
Title (Mr, Mrs, M/M, Ms):  
     
Number of Family Members (including applicant):  
     
Dates of Birth (including applicant):
     
         
     
City, State, Zip:  
     
(*) Your Email Address:  
     
Your Telephone: Day    
     
Evening    
     
What type of insurance are you interested in (check one or more):
     
Health  
Mini Meds/Secure Care  
Seniors Choice &/or Indiv. Medicare Plan  
Disability  
Life  
Self-Insurance  
COBRA Billing  
Medical Spending Account  
Dental  
Vision  
     
Additional Information, special requests or comments?
     
Image verification    
     
(*) To submit this form, please enter the characters you see in the image:
     
  Why?
     
If you cannot read the image, click for a
new one: 		 
     
By clicking "Submit", you authorize GreenTree Benefit Services, Inc.
to contact you regarding this matter.
     
     
 
 
GreenTree Benefit Services is a licensed, accredited broker and member in good standing with the Better Business Bureau.
 
 
·  Group & Individual Plans  ·  Health Benefit Plans  ·
Senior Care ·  All Ages  ·  All Major Carriers
 
 
 
When was the last time your HEALTH PLAN
had a check-up?
 
 
   Our location:
 
   Map & Driving Directions
 
 
   Privacy Policy:
 
We are committed to protecting your privacy. Any and all information you provide is put to use strictly for the purpose of fulfilling your request. We will assure you that we do not, and will not sell our mailing lists.
 
If you have any questions, contact us by email or call us at the address/number listed on the left.
 
 
   You are visitor:
 
Thank you for visiting
our website!
 
 
Website by The Small Details |   Copyright © 2007.  All Rights Reserved.  Terms & Conditions  |  Privacy Policy   |   Updated: July 18, 2007