eSupplemental.com

Federal Employee Benefits Direct

Disability Insurance

How long could you go without a paycheck? Our disability program offers 24-hour protection. Choose either a 14 or 30 day waiting period, Benefit period up to one year.

  • No one is declined
  • One rate for all ages
  • Covers maternity after 10 months
  • Pre-existing conditions covered after 12 months
  • Draw sick leave and disability at the same time or bank sick leave
  • Choose between $600 to $5000 a month tax free
  • Available via payroll deduction
Term and Whole Life Insurance

  • FEGLI Replacement or additional Life
  • Purchase up to $250, 000 in Term Life Insurance with no physical (ages 18-70)
  • Purchase up to $150,000 in Whole Life Insurance with no physical (ages 18-70)
  • Price will never increase
  • Builds cash value
  • Available for spouse, children, and grandchildren
  • Paid-up option
  • Portable
  • Available via payroll deductions
Cancer Insurance

  • Lump Sum Benefit
  • Amounts Between $10,000 – $50,000
  • Price does not increase with age
  • Builds cash value
  • Available for spouse and children
  • Paid-up option
  • Portable
  • Peace of Mind Coverage at Affordable Rates

Fill out the Form below for your Free
Supplemental Insurance Quote

First Name
Last Name
Address
City
State
Zip code
Email (required)
Daytime Phone
Evening Phone
Best Contact Time
Your Age
Your Gender
Do you use Tobacco/Smoke?
Check if “Yes”

Please provide the following information on yourself

Height/Feet
Height/Inches
Weight
DOB

I am interested in getting quotes on

Individual Short Term Disability Insurance
I am a Federal Employee
*Do not check if you are a state employee
I am planning a future pregnancy
Number of Hours worked per Week
Your Annual Salary: $
Your Occupation
be specific
What agency do you work for?
I am Currently Pregnant
If already pregnant, we do not have any coverage at this time
My desired monthly benefit is: $
I want my benefit paid for
I currently have Long Term Disability Insurance
When does your current Long Term Disability Start? (elimination period)
I don’t have Long Term Disability Insurance but want it
Please list any pre-existing conditions and/or medications taken
I am also interested in Life Insurance Information
I am interested in Cancer Insurance
Type of Coverage
Have you ever been diagnosed or treated with cancer of any type or form?
If you previously had cancer, please list the type and date of last treatment
Is there any other specific coverage you are looking for?

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