College Community Insurance can help you find permanent and short-term Health/Rx insurance coverage.

We are a great source for:

• All Non-Benefits Eligible Employees
• Adjunct Faculty
• Part-Time Staff
• Students that need more than the student policy offered by the College
• Students graduating or leaving the institution temporarily or permanently
• Former employees who do not want COBRA or have COBRA that has run-out
• Anybody in need of individual health insurance coverage (Whether affiliated or not with any college or university)

We are not associated with just one insurance company, as we can offer a plethora of options from many A Rated insurers across the United States.

Please fill out the form below for us to begin the process and a representative will contact you shortly.

Request a Quote
This is information that will be used to offer a proposal for individual coverage. This is not directly sponsored by your employer or any particular college, and you can be denied coverage based on answers in the actual application process that would follow.
^* indicates required

Name:		*
Address:
City:
State:		AL AK AR AZ CA CO CT DC DE FL GA IA ID IL IN KS KY LA MD MI MN MO MS MT NC ND NE NH NM NV OH OK OR PA SC SD TN TX UT VA WV WI WY
Zip Code:
Phone Number:
Email Address:		*
Height:		*
Weight:		*
Date of Birth:		*
Do you use Tobacco?		Yes No *
Do you need Maternity Coverage?		Yes No *
Do you have any Pre-Existing conditions?		Yes No *
Do you currently have insurance coverage?		Yes No *
When do you need your coverage to begin?		*
How long do you need coverage?		*
Spouse or Dependent Coverage		Yes No
What are you dependents' names and birthdates?
How did you hear about us?
What college are you associated with?
What is your status at the college?
Would you also be interested in :
Dental Insurance:		Yes No
Life Insurance:		Yes No
Disability Insurance:		Yes No

designed and developed by Mike Hough