Your Future Income Stability Starts Today

If you’re ready to get quotes for an individual disability insurance policy, fill out all of the following information, and we will send quotes from our insurance partners to you via email within 2 business days.

If you have any questions or concerns before getting a quote, please book an appointment at your earliest convenience below, or send us an email to info@reiddisability.com, and we will respond as soon as possible.

Let’s Get Started!

Now is the most affordable time to get disability coverage. Lock in discounted rates based on your age and health. These savings last for the life of your policy, even as your coverage grows with your income.

Book a consultation appointment that works for you.  We know you’re busy, so if you can’t find one that works, reach out via email to info@reiddisability.com and we will adjust our schedule to make something work!

Thank you for choosing Reid Disability Advisors, we look forward to helping find the right coverage plan for you!

Client Information Sheet– Please Answer All Questions

Personal Section:

Name(Required)

First Last

Date of Birth(Required)

Gender(Required)

State of Residence(Required)

Smoker(Required)

Yes

Current Weight(Required)

Height(Required)

Country of Citizenship(Required)

(Non-US Citezens: Visa Type)

Occupation Section:

Name of Employer:(Required)

Your Medical Specialty

(If applicable to your specialty, please specify if invasive or non-invasive)

Are you a Resident or Fellow?(Required)

If yes, when does Residency/fellowship end?

Do you have student loans?(Required)

If yes, what’s the balance. Some policies will insure student loan payments.

Income Section:

Current Annual Income(Required)

Last Year’s Income(Required)

Previous Year’s Income(Required)

Any Bonus(Required)

KI Income(Required)

Coverage Section:

Do you have Group LTD at work?(Required)

Yes

If yes, list your monthly benefit amount & benefit period?

Are the premiums paid by yourself or your employer?(Required)

Yes

Do you also have an individual LTD or STD policy?(Required)

Yes

If yes, list your monthly benefit & benefit period?

If possible, please attach the coverage pages of your current individual disability policy.

Max. file size: 300 MB.

Please indicate any additional income or job related information which you wish to share:

Please list any prior or current medical conditions and Medications/dosages currently prescribed. Include date first diagnosed and treatments recieved such as surgeries, etc.