ShelterPoint Life Insurance – Formerly First Rehab Life 1972 Located at
1225 Franklin Avenue, Ste. 475, Garden City, NY.
Phone: 516-82908100

What ShelterPoint needs for Quotes:

All policies are administered by ShelterPoint Life and underwritten by either ShelterPoint Life, a NY-domiciled carrier, or ShelterPoint Insurance, a FL-domiciled carrier depending on the state. Contact Underwriting for details.
  • Not all products are available in all states and from each entity in the family of ShelterPoint companies.Click here to view availability by state.
  • For information about which company is licensed in your state, please visit our "Geographic & Jurisdiction Notice".

Statutory Insurance

NY DBL/PFL (1 - 49 lives)
  • Quote now!
  • Submit Application now!
  • For an application, have the following information ready:
    • valid business name & address
    • nature of business
    • effective date
    • Federal Tax ID and unemployment insurance number
    • number of male employees/number of female employees
    • previous DBL carrier
    • current workers' comp carrier
  • View Rate Card pdf icon
NJ TDB (25+ lives)
  • number of male employees/number of female employees
  • If group is currently covered by NJ Dept. of Labor:
    • Notice of Employer Contribution Rates (3 consecutive AC174.1 forms required)
  • if group is currently covered by private carrier:
    • three years premium & claims experience
  • E-mail RFP
NY DBL/PFL (50 +lives)

Other Group Benefits

24-Hour Accident
  • Company name and address
  • Nature of business
  • SIC Code
  • Dependent status: 
    • single [s] 
    • employee/spouse [ES] 
    • employee/child(ren) [EC] 
    • family [FF]
  • Plan design (number of requested units)
  • Quote now!
Hospital Cash (2+ participating employees)
  • desired plan design
  • participation level
  • dependent status:
    • single [s]
    • employee/spouse [ES]
    • employee/child(ren) [EC]
    • family [FF]
Non-Statutory Short-Term Disability (5+ lives) *
  • name
  • date of birth/age
  • gender
  • date of employment
  • job title
  • salary
  • E-mail RFP
Vision Indemnity (5+ lives)
  • desired plan number
  • number of singles
  • number of families
  • Quote now!
Dental (2+ participating employees)
  • Desired plan design
  • Participation level
  • Desired funding option
  • dependent status:
    • single [s]
    • employee/spouse [ES]
    • employee/child(ren) [EC]
    • family [FF]
  • Quote now!
Medical Gap

Click here to contact our Medical Gap representative Simon Klarides and receive/download a complimentary copy the OptiMed Elite Medical Gap brochure.

Term Life and AD&D (10+ lives) *
  • name
  • date of birth/age
  • gender
  • date of employment
  • job title
  • salary
  • E-mail RFP
Vision with network option (2+ participating employees)
  • desired plan design
  • participation level
  • desired funding option
  • dependent status:
    • single [s]
    • employee/spouse [ES]
    • employee/child(ren) [EC]
    • family [FF]
  • Quote now!

* For groups of 100 or more employees, we require premium, claims, rate history, most recently paid bill and in-force plan booklet, if applicable.

For further information, please contact our underwriting staff at 800-365-4999. or underwriting@shelterpoint.com