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Group Premium Only Plans
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Individual Disability
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Individual Longterm Disability
Individual Financial
Individual Annuities
Individual Mutual Funds


Group Disability Insurance


In order to obtain group disability insurance quotes for groups of "two (2) or more employees, please complete the information below for all full time employees working 30 or more hours per week.

For groups over fifty (50) send contact information by e-mail to quote@Butler4benefits.com. Quotes available to groups located in or relocating to the state of Massachusetts.  

For groups of one(1), visit Individual Disability to request a quote.

Request Personalized  Quote


Please fill out completely. Quotes provided are based on information provided. Final rates are determined by the Insurance Carrier once the application has been submitted with any other requirements and been reviewed by an underwriting department.

*denotes required information.
Company Name*:
Company Address*:
City*:
State*: Zip*
Contact Name*:
Contact Title :
Contact E-Mail*:
Phone Number*:  ext:
Fax Number :
Nature of Business*:
Current Plan*:
(enter "none" if you do not have a plan)
Current Monthly Premium :
Requested Effective Date of quote*:


Please give us some information on the type of coverage you would like quotes on:

Type of coverage desired*:

Short-term disability benefit duration*:

Long-term disability elimination period*:

% of income to replace*:

Total number of employees requiring coverage (minimum of two required)*:

Additional comments and/or health issues:





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