Disability Request Form

Coverage Information
By clicking "Continue", you give consent to Intramark Insurance to contact you at the email address and telephone number provided. This includes if the number is currently on any Do Not Call Lists. This consent is not required, and you may call us directly at 1 (866) 495-4656.

Please complete the following to receive disability insurance quotes from multiple companies with a comprehensive Comparison of Benefits (Note: This information is for quoting purposes only. We respect your privacy and will never sell, rent or otherwise share your personal information with any third party for any reason).

LifeInsure.com is the premier site on the Internet for information and guidance on disability insurance for Own-Occupation Disability Insurance Quotes.

speak with a Professional

For more information, call an insurance professional at LifeInsure.com (866) 868-0099 during normal business hours or contact us through our website.

Richard Reich

CEO - Licensed Agent

Richard Reich CEO and Licensed agent

In my 20+ years as an independent life and disability insurance broker, I have personally assisted thousands of clients with their life and disability insurance needs.  Being independent, I represent many highly-rated insurance companies and, because I am not beholden to any one insurance company, my focus is to find the right company and policy for each individual client. I believe that when people shop for insurance (or anything else, for that matter) on the Internet, they are looking for a simple, non-intrusive, non-pressure method of doing so.  I strive to treat my prospective clients with the utmost respect and I believe an educated prospect can make the right decision without sales pressure. Please feel free to contact me at your convenience.