PattersonInsure.com

Patterson and Associates Employee Benefit Solutions
Coverage for the whole family
Home Group Health Insurance Group Dental Insurance Individual Health Insurance Term Life Insurance AFLAC



Ph: 330-562-0898
Fax: 330-562-0899

1151 Winchell Rd.
Aurora, OH. 44202




Testimonials

I purchased a new HSA plan on-line through Patterson & Associates. What a great way to buy health insurance.
Rob S. - Kent, Ohio


Shopping on-line for my insurance coverage was quick and easy! Great rates, Excellent coverage.
Jeff H. - Seville, Ohio




Interactive Links
Drugstore.com
WebMD
Life-Line.org
Glossary of Insurance Terms

Term Life Insurance Quote Request

Please take a moment to fill out the form below and one of our representatives will contact you with a free, no-obligation quote. This information will be kept confidential and will be used for quote purposes only.


General Information
Name:
Address:
City:
State:     Zip:
Phone:  
Best Time To Call:   AM   PM
E-mail Address:

Information About You & Your Spouse
Please enter information below for all to be covered.
  SELF SPOUSE
Name: Self
Date of Birth:
Sex: M   F M   F
Marital Status: M   S M   S
Occupation:
Height: ft. in. ft. in.
Weight: lbs. lbs.
Smoker: Yes   No Yes   No
Have you had any of the following health conditions: Heart
Cancer
Diabetes
HBP		 Heart
Cancer
Diabetes
HBP

Additional Comments or Questions

Briefly describe any medical events in the past 10 years that have required hospitalization or surgery for either you or your spouse:

Please click the "Submit Quote" button to send your quote request. No coverage is in effect until bound by an insurance carrier. This is a request for quotation only.




James Patterson is a licensed agent in Ohio and Michigan.
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