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South Carolina
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Home Phone:   Work Phone:   Ext.
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Date of Birth:              (mm/dd/yyyy)
Gender:    Height:  ft. 
Weight:    Do you smoke?

Do you currently have South Carolina disability insurance?
Current Premium:$  per month

Occupation or Title:       
Monthly Gross Income:$
Explain Job Responsibilities:

Are you a government employee?
Are you a business owner?          

South Carolina Disability Insurance Coverage Information:

Length of Disability Coverage Needed?
South Carolina Disability Coverage For? 
Type of Disability Coverage Needed?   
Monthly Benefit Amount Desired:                      $
Or Enter a Different Monthly Benefit Amount:    $
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Elimination Period:
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Explain any prior South Carolina workers comp or serious health issues below.


Additional Question or Comment:



Click on the "Submit Quote Request" button below to send
your South Carolina Disability Insurance quote request.**


**Information received from this South Carolina Disability Insurance quote request form sent to Russell-Massey & Company will be for our use only and will not be sold, given to or distributed to any other parties. A quote will be based on the South Carolina disability insurance policy information provided and does not guarantee acceptance of the risk by us. The precise coverage afforded is subject to meeting underwriting guidelines, and the terms, conditions and exclusions of the policy as issued. By submitting this request you acknowledge that this is neither an offer to insure nor a guarantee of insurance. Completion of this form does not entitle you to a South Carolina Disability Insurance policy. We are licensed in South Carolina and will not provide disability insurance quotes for other states.


South Carolina Disability
Insurance Quote
We can provide low cost South Carolina Disability Insurance
coverage in Columbia, SC and throughout the Palmetto State!
Russell-Massey & Co.
of Columbia, SC offers
affordable and
experienced personal
insurance coverage
services throughout
South Carolina.
Contact us about South
Carolina Auto, Renters,
Homeowners, Boat,
Motorcycle, Disability,
and Health Insurance toll
free at (800) 849-7475.
In addition to South
Carolina Disability
Insurance quotes, we
also offer affordable
Health Insurance policy
premium quotes.
We are a Columbia, SC insurance agency offering affordable
South Carolina disability insurance policy quotes in the following
towns, cities and counties in South Carolina: Chapin, Arthurtown,
Saluda Terrace, Sandwood, Arcadia Lakes, Cayce, Olympia,
Forest Acres, Dentsville, Eau Claire, West Columbia, Springdale,
Denny Terrace, Belmont, St. Andrews, Irmo, Oak Grove,
Lexington, Galaxy, Bluff Estates, Hazelwood Acres, State Park,
Haskell Heights, Lincolnshire, Ballentine, Killian, Red Bank, South
Congaree, Edmund, Gilbert, Summit, Gaston, Hopkins, Capitol
View, Horrel Hill, Fort Jackson, Pontiac, Elgin, Blythewood,
Camden, Richtex, Whitehall, White Rock, Sumter, Lugoff, Boykin,
Rembert, Hagood, Horatio, Stateburg, Borden, Wedgefield,
Oswego, Gadsden, Fort Motte, St. Matthews, Swansea,
Woodford, Winnsboro, Pelion, Steedman, Samaria, Monetta,
Batesburg-Leesville, Stoney Hill, Prosperity, Newberry, Peak, Little
Mountain, Slighs, Pomaria, Jenkinsville, Rion, Winnsboro Mills,
Simpson, Smallwood, Ridgeway, Orangeburg, Lexington County,
Fairfield County, Calhoun County, Sumter County, Kershaw
County, Saluda County, and Richland County, SC. We can also
offer reliable South Carolina disability insurance coverage quotes
throughout the Palmetto state, including in Florence, Greenville,
Spartanburg, Myrtle Beach, and Charleston, SC.
Applicant Information:
Your South Carolina
Disability Insurance
Quote Source
Russell-Massey & Co.
1320 Elmwood Avenue
Columbia, SC 29201
Richland County, SC
Toll Free: (800) 849-7475
Office: (803) 779-7854
Fax: (803) 799-6546
Russell-Massey & Co.
409 Lexington Avenue
Chapin, SC 29036
Lexington County, SC
Office: (803) 941-3650
Fax: (803) 941-3654
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South Carolina
Personal
Insurance Quotes
Disability
Insurance Quote
Russell-Massey
& Company, Inc.
General Insurance
SC Disability Insurance Quote
800-849-7475 toll free
803-779-7854
Serving South Carolina Since 1955
Richland County & Lexington County, SC Area
Richland County & Lexington County, SC Area