South Carolina
Family or Individual
Health Insurance Quote
We can provide cheaper South Carolina Health 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 low cost
South Carolina Health
Insurance quotes, we
also offer affordable
Disability Insurance
policy quotes.
We are a Columbia, SC insurance agency offering low cost South
Carolina health 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 a South
Carolina health insurance quote throughout the Palmetto state,
including in Florence, Greenville, Spartanburg, Myrtle Beach, and
Charleston, SC.
Full Name:          
Home Address:
City:
State:  South Carolina
Zip Code:
Email Address: (Required) 
Home Phone:   Work Phone:   Ext.
How to Contact You:       Cell Phone:
Date of Birth:              (mm/dd/yyyy)
Gender:    Height:  ft. 
Weight:    Do you smoke?

Do you currently have health insurance?  
Type of health insurance currently owned:
Current Premium:$  per month

Family Health Insurance Coverage For:
Age of Spouse:                                    
How many children to be insured:         

South Carolina Family or Individual Health Insurance Coverage Desired:

HMO Health Insurance   HMO Co-Pay Amount Desired:  
PPO Health Insurance     PPO Deductible Amount Desired:
POS Health Insurance     POS Co-Pay Amount Desired:    
Major Medical Health Insurance      Deductible Amount Desired:

Choose Benefit Options:
Individual or Family Dental Insurance Coverage:
Individual or Family Vision Insurance Coverage:
Life Insurance Coverage:                                   

Medical Information:

Within the last 10 years have you or any person to be insured been aware of, diagnosed
and /or been treated by a member of the medical profession for: heart disease or
disorder, stroke, cancer, diabetes, drug or alcohol dependency, mental disorder,
emphysema, airway or pulmonary disease, crohn's disease or ulcerative colitis,
nervous system disorder, liver disorder, kidney disorder, crippling or disabling
arthritis, spinal disc disease, knee or hip disorders? 

If "Yes", please list information below.


Have you or any person to be insured been hospitalized
within the past 12 month, due to be so confined or been
disabled for more than 5 days within the past 12 months? 

If "Yes", please list information below.


During the last 10 years have you or any person to be insured been diagnosed by a
member of the medical profession as having Acquired Immune Deficiency Syndrome
(AIDS) or AIDS related complex (ARC) or tested positive for HIV? 

If "Yes", please list information below.


Additional Information or Comments



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


**Information received from this South Carolina Health 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 health 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 Health Insurance policy. We are licensed
in South Carolina and will not provide health insurance quotes for other states.


Applicant Information:
Your South Carolina
Health 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
Health
Insurance Quote
Russell-Massey
& Company, Inc.
General Insurance
South Carolina Health Insurance Quotes!
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