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

We are a great source for:

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:  
     
Zip Code:  
     
Phone Number:  
     
Email Address:   *
     
Height:   *
     
Weight:   *
     
Date of Birth:   *
     
Do you use Tobacco?   *
     
Do you need Maternity Coverage?   *
     
Do you have any Pre-Existing conditions?   *
     
Do you currently have insurance coverage?   *
     
When do you need your coverage to begin?   *
     
How long do you need coverage?   *
     
Spouse or Dependent Coverage  
     
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:  
     
Life Insurance:  
     
Disability Insurance:  
     
     
     
   
designed and developed by Mike Hough