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Contact us at National Insurance Markets, Inc. Contact Us
915 Saxonburg Blvd, Suite 217
Pittsburgh, PA 15223

Telephone: (412)782-1979
Toll Free: (800)235-2013
Fax: (412)782-2868
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Its Easy to get a FREE Quote for High Limit Accidental Death & Dismemberment Insurance

 For individual coverage, please use our online quote/application tool. If you would like coverage for a husband and wife with the 2nd to die option, or ask a question, please use the form below.

The fields marked with * are necessary for calculating a quote.

 
Personal Information
Name
Email*
Telephone
Date of Birth (MM/DD/YY)*
Citizenship U.S. Citizen Canadian Citizen Other Country
Occupation*
Countries to be visited.*
If Traveling outside of USA, are you traveling on business or pleasure?
Air Travel - Will aviation travel be on regularly scheduled airlines? If No, provide details *
Product of Interest*
Maximum Benefit* $500,000 $1,000,000 $1,500,000 $2,000,000
$3,000,000 $4,000,000 $5,000,000+
Length of Coverage
from 1 Week to 12 Months*
Coverage Requested All-risk, 24 Hour Common Carrier Air Travel Only
Optional Coverage War or Acts of War or Terrorism 2nd to Die
Message


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