You have several options to get an individual or group insurance quote from Diversified Benefit Services:

1. You can complete the online questionnaire form (see links below).

2. We can mail you, or email you, the questionnaire form, or you can download the correct form in PDF format (see links below), and you can then complete the form and return it to us.

3. You can call us and we will complete the form for you over the phone.

Following are the links to our online individual and group health insurance forms:

INDIVIDUAL QUOTE FORM

Following are the links to our individual and group quote forms in PDF format:

INDIVIDUAL QUOTE FORM.PDF

GROUP QUOTE FORM.PDF

Also, feel free to contact us by phone, or email, if you have any questions:

(972) 826-1400

sales@diversifiedbenefitservices.com