Downing-Childs
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Downing-Childs
196 East Second St.
Pomeroy, Ohio 45769
(740) 992-3381
(800) 454-1096

 














 

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Health Insurance Quote Request

Please note that in order to provide you with an accurate quote, we will need to ask some personal information.  All major insurers are now requiring a credit check as part of the underwriting process.  Downing-Childs will not see this information, but will receive an insurance score from the rating agency.  This insurance score will be one factor that goes into the calculation of your final premium.

We at Downing-Childs want to ensure you that we will keep all personal information confidential and will not discuss, transfer, or sell this information to any third parties.

In completing the quote request, don’t worry if you’re not certain about coverages and deductibles.  We can discuss this and determine what best suits your needs later.

Personal Information

Name
Address
Phone
E-Mail

Names and Ages of Insureds

  Name Gender Date of Birth
Insured

 

Spouse

 

Dependent #1

 

Dependent #2

 

Dependent #3

 

Dependent #4