Health Insurance Quote

Southern Insurance Associates

To receive a health insurance quote, fill out the information below and we'll get back to you right away with quoted coverage options for your consideration.

Required fields are marked with: *

Personal information
Gender *
Do you use tobacco? *
Does your employer offer a group health insurance plan? *
Marital Status *
Spouse information

For an accurate quote please answer all applicable questions below for each spouse/dependent in your household, even if you are not seeking coverage for them at this time.
Spouse Gender
Spouse Tobacco Use
Does your spouse’s employer offer a group health insurance plan?
Dependent information
Dependent Gender
Additional information
Is there any household member whose info is shared above, but you wish to NOT include in coverage we are quoting? *
Did you or anyone in your household lose health insurance in the past 60 days OR do you expect anyone in your household to lose coverage in the next 60 days? *
Did any of the following apply to you or anyone in your household in the past 60 days? (check any that apply)
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La Fayette Health insurance

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Southern Insurance Associates
408 N. Main Street
La Fayette, GA 30728

706-996-8788
9AM - 5PM Mon - Fri