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.: Individual & Family Health Ins.
.: Group Health Insurance
.: Whole/Term Life Insurance
.: Auto Insurance
.: Homeowners/Renters Insurance
.: Annuities
.: Accident/Disability Insurance
.: Business Insurance
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 Elite Insured's Mission
Best Price Insurance
Our mission here at Elite Insured is to provide you with numerous options to ensure you get the best price for YOUR sitiation in the Maryland, DC and Virginia area.
The Independent Way
Elite Insured is an independent agency dedicated to finding you the best deal. Any truthful agent will tell you there is no best insurance company, so why work with a company that can only offer one option?
 


Elite HOME ABOUT Elite CONTACT Elite FREE QUOTE Elite NEWS
Name
Address
City
State  Zip 
Work 
Phone
Home 
Phone
E-mail
Present Auto Insurance Company
Date Auto Insurance Expires
Do you own a home? Yes  No
How long at your present address?

 

Car# Year VIN Make Model2dr/4drMiles to Work (one way)Annual Mileage
1
2
3
4
5

 

Driver Name
Date of Birth
Sex
Marital Status
Occupation
Number of Tickets in Last 3 Years
Number of Accidents in Last 3 Years
% of Use 
Car #1
Car #2
Car #3
Car #4
Car #5

 

LIABILITY LIMIT FOR ALL CARS
Bodily InjuryProperty Damage
Single Limit 
  choose one
25,000/50,000 25,000
60,000
50,000/100,000 50,000
100,000
100,000/300,000 100,000
300,000
250,000/500,000 500,000
500,000
Choose either Bodily Injury & Property Damage OR Single Limit

 

Car #Deductible ComprehensiveDeductible CollisionTowLoss of Use
1 100 250 500 250 500 1000 Yes Yes
2 100 250 500 250 500 1000 Yes Yes
3 100 250 500 250 500 1000 Yes Yes
4 100 250 500 250 500 1000 Yes Yes
5 100 250 500 250 500 1000 Yes Yes

Life Insurance

 


 

 

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