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401 West Patrick Street, Frederick, Maryland 21701
Call or Text (301) 662-0250

About
Personal Coverage
- Auto
- Boat
- Classic Auto
- Condo
- Homeowners
- High Net Worth
- Flood
- Life
- Motorcycle
- Pet Health
- All Personal Lines
Business Coverage
Contact

Client Services

Life Insurance Quick Quote Info

Life Insurance Quick Quote Info

To prepare your personalized life insurance quote, I just need a few quick details. This should only take about 2 minutes!

First Name(Required)

Last Name (First initial is fine)

Email

Height – Feet(Required)

Height – Inches(Required)

Weight (lbs)

Tobacco Use(Required)

Have you used tobacco or nicotine dispensing products in the last 12 months?

Yes

No

Cannabis Use(Required)

Have you used cannabis or cannabis dispensing products in the last 12 months?

Yes

No

Tobacco Frequency(Required)

Occasionally

Weekly

Daily

Cannibus Frequency(Required)

Occasionally

Weekly

Daily

On a scale of 1-5, in your opinion, how healthy are you? (1=Poor Health, 3= Average Health, 5=Excellent Health)(Required)

1 – Poor health

2 – Health is ok, but could be better

3 – Average health

4 – Above average health

5 – Excellent health

In the last 10 years, have you been diagnosed with or treated for any major health conditions (e.g. heart disease, cancer, diabetes)(Required)

No

Yes

Health Conditions Explained(Required)

Please briefly describe.

Want to compare your options?

Click the button below to head to our quotes page where you can enter some basic information to have our team help with your insurance!

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Service Options

Make a Policy Change
Request a Certificate
Get an ID Card
Pay Your Bill
Review Your Policy

Address: 401 West Patrick Street, Frederick, Maryland , 21701

Call or Text (301) 662-0250

About

Lebherz Insurance Agency, Inc is a 5-Star rated independent insurance agency located in Frederick. We look forward to assisting you with your insurance.

Services

Auto Insurance
Homeowners Insurance
Life Insurance
Business Insurance
All Personal Lines
All Business Lines

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Why Independent

"Lebherz Insurance Agency, Inc has been there for us, for years. We couldn't imagine using any other insurance agency. Their service is always incredibly fast, and they proactively look out for us when our policies renew. We highly recommend them! 5-Stars for sure!"

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