Contact Info

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308 Church Street
P.O. Box 3070
LaGrange, GA 30241

Phone: 800.523.7135

Fax: 800.523.5364

Bill Houze, President billhouze@houze.org

Request a Quote

Let us quote you a proposal in 24 hours - or less, in most cases.

Form Submission by:

Request a Quote Form

Name

Employer

City, State, Zip

Fax Number

Number of Employees

Percentage Paid by Employees

Email

Address

Phone Number

Type of Industry

Effective Date

Replacing current coverage?


Agents, please provide us with the following information:


Name

Agency

City, State, Zip

Fax Number

Email

Address

Phone Number


Please provide a quotation for (check one or more), and include the benefits (if desired) in the text box:


Group Life Insurance

Group Dependent Life

Voluntary Permanent Life

Long Term Disability

Group AD&D

Voluntary Term Life

Short Term Disability

Group Dental Insurance

Comments:

Also, please email census data to donnawright@houze.org or fax it to her at 1-800-523-5364.