Barkley Insurance Agents & Brokers

Life Insurance Quote

   
Life Insurance Information 
  Type:
  Amount of Death Benefit:
Insured Information 
  Insured Name:
  Address:
  Address 2:
  City:
  State:
  Zip:
  Home Phone:
  Email:
  Date of Birth:
  Use Tobacco?
  Gender:
  Height: ft in
  Weight:
Insured Medical Information 
  Describe any pre-existing Health conditions:
  List any medication, including dosage and frequency:
  Note any other pertinent information or requests for
  coverage:
Spouse Insurance Information 
  Spouse to be Insured?
  Spouse Date of Birth:
  Spouse Use Tobacco?
  Gender:
  Height: ft in
  Weight:
  Children?
Spouse Medical Information 
  Describe any pre-existing Health conditions:
  List any medication, including dosage and frequency:
  Note any other pertinent information or requests for
  coverage:
Children Information 
  Date of Birth & Gender:  
  Date of Birth & Gender:  
  Date of Birth & Gender:  
Children Medical Information 
  Describe any pre-existing Health conditions:
  List any medication, including dosage and frequency:
  Note any other pertinent information or requests for
  coverage:
Disability Insurance Information 
  Occupation:
  Duties:
  Earnings:  
  Other Disability Coverage?
  Other Disability Coverage Type:
Disability Benefits to be Quoted 
STD LTD
  Elimination Period:
  Percentage Payable:
  Maximum Monthly Benefit:
  Duration of Benefits:

 

2010 Calendar of Events

Academy of Risk Management
March 25th -
Tony Strauss of Strauss Law Group will be speaking about Preparing Your Employees for the Ecominic Recovery.
May 27th -
Dan Leiner of the OSHA Van Nuys office will discuss OSHA initiatives for 2010.
Location: Heritage Square Hall in downtown Oxnard (8:00 AM)

Industry News & Articles

OSHA Notifies 15,000 Workplaces of High Injury and Illness Rates -
Mar. 10, 2010
OSHA surveys employers to collect workplace injury and illness data it uses to identify.....
Read More
Vulnerable Workers Face Higher Risk, Research Reveals -
Feb. 17, 2010
Low-wage, low skilled, and immigrant workers face disproportionately high risks for job-related injuries and illnesses compared with other U.S. workers.....
Read More
Employee’s Perceived Sexual Orientation Claim Survives -
Feb. 16, 2010
An employee living in California was fired by e-mail by his employer from its New York office......
Read More
Industry News & Articles Page -
View all current and archived industry news & articles.....
View More


Barkley Insurance Newsletter

NEWSLETTER SUBSCRIBE:

Risk Management Services

Does your broker provide free...

  • Supervisory Training
  • Fraud Prevention
  • Accident Investigation
  • Employee Training Programs

Barkley Insurance Does!

Learn More

Clinicas Medical Plan

Low cost medical benefits for your employees.

  • Medical
  • Dental
  • Vision
  • Life
  • Mexico Coverage

Learn More

Travel Medical Insurance

  • International
  • Inbound
  • Round Trip
  • Annual
  • Student
  • World Wide

Receive a Quote

Office Location

Barkley Insurance Agents & Brokers
721 South A Street
Oxnard CA, 93030
Phone: 805-483-1995
Fax: 805-483-0703