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Request Proposal

Request Proposal

Getting a quote with Optistar Insurance Services is EASY! Just fill out the form, and submit! We will have your business quoted by multiple insurance carriers and call or e-mail you with the best pricing!

Please fill out as much information as possible and a representative will contact you shortly.

The more information you fill out the more accurate quote we can provide; however if you're in a hurry... just fill out the first few fields and we will contact you as soon as possible.


Name
Company
Industry Type
i.e. Construction, Retail, Computers, etc.
Address
Location
Phone number
Email
Total number of employees
Number of full and part-time employees
Number of sub-contractors/consultants
Types of business insurance user is interested in purchasing
i.e. Business Owners Policy, Property, Worker Comp, Professional, etc.
Company's legal entity
i.e. Individual, Limited Liability Company, Partnership, etc.
Number of years company has been in existence
Approximate average annual revenue
Number of years industry experience in company ownership
Company industry
User's office location
Current carrier (if applicable)
Current policy expiration date (if applicable)
Current annual premium range (if applicable)
Detail Description of Business and Additional Requirements