NY State Statutory Disability Insurance – Under 50 Lives

WestCo Guardian Standard Security
1 – 49 M F M F M F
Annual in Advance a $19.80 $45.00 $23.16 $53.88 $20.28 $44.16
Annual in Advance b $22.20 $57.00
Partner or Proprietor $114.00 $68.86 $112.32
Minimum Annual Premium $80.00 $60.00 $60.00
Quarterly in Arrears
10 – 49 M F M F M F
Per Month $2.90 $6.35 $2.60 $5.75 $1.90 $4.29
Partner or Proprietor $9.50 $6.35 $9.36
Minimum Quarterly Premium $20.00 $15.00 $16.00
Prepay Required No No No

National Benefit Life only:
a. Rates for Bronx, Columbia, Delaware, Dutchess, Greene, Kings, Nassau, New York, Orange, Putnam, Queens, Richmond, Rockland, Suffolk, Sullivan, Ulster, and Westchester Counties.
b. Rates for all other counties in New York State.


To apply for coverage, please complete and submit the application below.

Fields indicated with an asterisk * are required.

Broker Submitting Quote Request
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  Agent ID
* First Name
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Employer Information
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  Desired Effective Date of Coverage: 
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  Insurance Company Desired: Standard SecurityWestCoGuardianShelterpoint
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  Please confirm: Do you wish to bind coverage? 
  New to this website? We cannot bind coverage for you without a copy of your license.
Please fax a copy of your license to us at 631-265-7054.
 
To submit your request, enter the following code into the box below and click the Submit button.

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In addition to completing the above application, please fax to us:

  • A copy of a recent bill.
  • Loss experience for the last three years, if possible.

Our fax number is 631-265-7054.


Want to know more about DBL insurance? Email us at DBL@victorson.com.