Business Name:    
Premises Address:
South Carolina
Zip Code:
Contact Name:
Phone #:    Ext #:
Fax:    Years in Business:
Email Address: (Required) 
Description of Operations or SIC code:

Current Insurance Company: 
Policy Expiration Date:          (mm/dd/yyyy)

South Carolina Group Term Life Insurance Coverage Information:

Group Term Life Insurance Objective:
Amount of Life Insurance Per Employee:    Other Amount:$ 

South Carolina Employee Information:

How many employees to be insured:

Did any employee to be insured have health problems during
the past 3 years?
If "Yes", please list information below.

Does any employee to be insured have a hazardous job? Yes No
If Yes, how many have hazardous jobs? 

Employees to be insured active members of the military reserves? Yes No
If Yes, how many are active members of the military reserves? 

Additional Question or Comment:

Click on the "Submit Quote Request" button below to send
your South Carolina Group Life insurance quote request.**

**Information received from this South Carolina Group Life 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 group life insurance 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 your business to a South Carolina Group Life Insurance policy. We are licensed in South Carolina and will not provide group life insurance quotes for other states.

South Carolina Group
Life Insurance Quote
Russell-Massey & Co. of
Columbia, SC offers
comprehensive commercial
insurance coverage options and
affordable business insurance
services throughout South
Contact us about South
Carolina Group Health,
Commercial Auto, Commercial
Property, General Liability,
Worker Comp, Contractor, and
Business Owners Insurance
toll free at (800) 849-7475.
In addition to South Carolina
Group Life Insurance, we also
offer affordable Group Health
Insurance policy services.
We are a Columbia, SC insurance agency offering affordable
South Carolina group life insurance policy quotes to mid-sized,
large, and small businesses 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 an inexpensive South Carolina group life insurance
quote to small businesses throughout the Palmetto state,
including in Florence, Greenville, Spartanburg, Myrtle Beach, and
Charleston, SC.
South Carolina Business Information:
Your South Carolina
Group Life 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 Group Life
Insurance Coverage Quotes!
800-849-7475 toll free
Serving South Carolina Since 1955
Richland County & Lexington County, SC Area
We can offer affordable South Carolina Group Life Insurance quotes
for your Columbia, SC, Richland County, and Lexington County small business!