Testimonials

"Working with John Jablonowski is a breath of fresh air. He.s educated, responsive and goes above and beyond to help grow your business. My Disability business has tripled since joining his team. .
-Stephen Cristofori Steve
 
"I have known John Jablonowski for seven years and he has always been very helpful with individual disability insurance cases. On one particular case, the insured was going to receive an exclusion and rating, but John negotiated with the underwriter and the insured received a policy with a lesser rating and no exclusion. Thanks to John.s efforts, the client and myself were pleased with the results. Thank you, John .
-Harriet Haggerty
New Haven Ct. NAIFA President 2008
 
"I have known John Jablonowski for 10 years and I can tell you that the Jablonowski Agency is focused on making my business life easier. Their service is second to done. As a matter of fact the quote turn around time is the fastest I have ever seen.. .
-Jack Peacock, CFP
RI. NAIFA President 2001
 
"As an independant broker with the 40 years in the business, I have dealt with many brokerage agencies. Only a couple stand out and John Jablinowski is one of them. He IS my Disability Insurance source and I can always rely on him to give me the right products. When I call him, I get him (not some damn menu) and if he's unavailable he gets back to me in minutes, not days. This is the kind of support I need to make my life easier. In fact, at this stage of the game, I'll tolerate nothing less. He's spoiled me.
-Eli Karson, CLU"
 
 
 

Disability Insurance Quote Request



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Quote Request Form:
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Agent Information:

  *Date:
  *First Name:
  *Last Name:
   Agency:
   Address:
   Address:
   City:
   State:
   Zip Code:
  *Phone:
  *Email:
 
Customer Information:

   Customer Name:
  *D.O.B.:
  *Gender:
Male
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  *State of Residence:
  *State Written:
 
  Do you need a new proposal or
to rerun an old proposal?
New Proposal
Rerun Old Proposal
     
  MEDICAL CONDITIONS:
Do not enter client name if any of the following items are checked.
Anxiety or Depression
Psychological Counseling
Heart Conditions, Procedures, or Surgery
Diabetic
Cancer
Alcohol or Drug dependency
Back or Neck problems
Height and Weight issues
Any other medical concerns not listed
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  Comments:
  *Occupation & Job Duties:
(Breakout % of Duties)
  Is this client an employee of Federal, State, or Local Government?
Yes
No
  *Income:
  Is the client a Business Owner?
Yes
No
  Years in Business:
  Number of Employees:
  Monthly Benefit:
Max
Specified


  Elimination, Waiting Period (days):  
  IDI
  Business Overhead Expense:
  Buyout:
     
  Benefit Period:  
  IDI
  Business Overhead Expense:
  Buy-Out:
  Any Existing Coverage in Force?:
Yes
No
  Monthly Benefit: per month
  Benefit Period:
     
  Group Coverages:  
  Waiting Period: days
  Benefit Amount: per month
  Benefit Period:
  Riders:
Residual
Partial
Cost of Living
3% 6%
Regular Occupation
Transitional Occupation
2yr 5yr
To Age 65 To Age 67
To Age 70    
Future Insurability
Auto Increase
LTC
Lifetime Benefits
Recovery
Six-month Residual
12-month Residual
     
  Key Man Disability Coverage  
  Monthly Benefit:
Max
Specified


  Elimination, Waiting Period (days):  
  IDI
  Lump Sum Benefit:
Max
Specified

Waiting Period
90 180
Existing Coverage
Yes No
  Business Loan Disability Coverage:
Monthly Expense
Waiting Period
30 60 90
Benefit Period
12 18 24
Existing Coverage
  Retirement Disability Coverage
Monthly Benefit:
Max
Specified

Waiting Period
180 365
Benefit Period
age 65 age 67
Existing Coverage