To speak to a licensed insurance agent, call 330-849-4690

Group Life - Disability - Health Insurance Plan Review/Quote

Yes, I would like to have a licensed insurance agent call and/or e-mail me about a Group Insurance Plan Review/Quote.

Do not use this form if your inquiry is related to Medicare Advantage Plans,Medicare Part D Prescription Drug Plans and/or Medicare Supplement Insurance.

Fill out the following form as completely as possible. Once you have completed the form, click the Submit button to send your information. Your request will be handled promptly.

Personal Information

Company Name *

First Name *

Last Name *

Your Position/Title *

Street *

City *

State *

ZIP / Postal Code *

Primary Phone Number *

E-Mail Address *

Submission Validation

Required

Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.

Insurance Websites Designed and Hosted by Insurance Website Builder

Connect with us

Check us out

32 Johnson Ave
Cuyahoga Falls, OH 44221
Phone:

330-849-4690 to speak with a Principle Owner and Licensed Insurance Agent
Fax: 330-362-2035 Email: jpm_mail@jpminsuranceservices.com

J.P.M. Insurance Services and its Agents are contracted to conduct business in the State of Ohio.

Any inquiry is welcomed and appreciated and does not have to be Medicare related.

If your inquiry is related to Medicare Advantage Plans, Medicare Part D Prescriptions Drug Plans and /or Medicare Supplement Insurance then you are making the following request:

"Yes, I would like to have a licensed insurance agent call or email me about Medicare Advantage Plans, Medicare Part D Prescription Drug Plans and /or Medicare Supplement Insurance.

Fill out the form below to get started with a Principle Owner and Licensed Insurance Agent:

J.P. M. Insurance Services or Agents are not connected with or endorsed by the United States government or the federal Medicare Program.