At Howell Health & Life Insurance Company we promise to help you custom design a quality health insurance plan that meets your needs and your budget. We promise to represent insurance plans that are "A" rated or higher and pay their claims on time.
We promise to educate you on all your health and life insurance options and to disclose "the good, the bad, and the ugly" about the insurance plans we represent. That is our guarantee to you.
Timely Service
Howell Health & Life Insurance is dedicated to a no-nonsense approach to health insurance. We focus on giving you the health and life insurance coverages that you need in a timely and cooperative manner.
We provide personal service by coming to you at a time and a place that are convenient to you.
Quotes
Daytime Phone (with area code)
Evening Phone (with area code)
City, State
,
Email Address
Tell Us About Yourself
Date of Birth (MM / DD / YYYY)
/
/
Weight (lbs)
Currently insured?
No
Yes
Height
feet
inches
Gender
Male
Female
Do you smoke or use any other
form of tobacco?
No
Yes
Please check any of the following conditions that apply to anyone applying for coverage
HIV/Aids
Diabetes
Cancer
Heart Attack
High Blood Pressure
Asthma
Stroke
Depression (requiring medication)
Other Major Illness
Anyone in the household an expecting father or mother?
Do you or any applicant currently take medications? If so, for what?
Tell Us About Your Family
Do you need coverage for your spouse?
No
Yes
Spouse Height
feet
inches
Spouse Date of Birth
(MM / DD / YYYY)
/
/
Spouse Weight (lbs)
Does your spouse smoke or use any other form of tobacco?
No
Yes
Does this spouse currently take any medications? If so, for what?