40 Industrial Park Rd Ste 301
Plymouth, MA 02360
info@safeharbourinsurance.com
 
Safe Harbour Insurance - At the Registry of Motor Vehicles
"Protection To Weather Any Storm"
 
Call Us Today
508-746-7990
 
 
 
 
 
 

Viatical Settlements in Plymouth, Massachusetts

Viatical settlements offer a unique proposal for chronically ill individuals with life insurance policies. A company can help these individuals by taking their policy and providing the person with a lump sum of cash. In this case, the individual can stop making premium payments and allows them to benefit from their own policies. We at Safe Harbour Insurance in Plymouth, Massachusetts can help you by providing you with a viatical settlement. Fill out the form below to speak with us today!

VIATICAL/SENIOR SETTLEMENT APPLICATION

We would like to provide you with a free, no-obligation viatical settlement quote.
Please provide as much information possible for the most accurate quote.
This information will be kept confidential and will be used for quote purposes only.

Speak to an agent or a live representative.... 508-746-7990


*Items in blue must be completed
 

PERSONAL INFORMATION

 
Best Time To Contact

 

POLICY INFORMATION

 
 
 
 

 

MEDICAL CONDITION

 
DO YOU HAVE A FAMILY HISTORY OF:
 
 
 
 
 
 

 

LIST THE FOLLOWING INFORMATION ABOUT IMMEDIATE FAMILY MEMBERS:

 
RELATIVE
FATHER
 
AGE
 
IF DECEASED, CAUSE OF DEATH
 
AGE AT DEATH
 
 
MOTHER
 
 
 
 
 
BROTHER
 
 
 
 
 
BROTHER
 
 
 
 
 
SISTER
 
 
 
 
 
SISTER