Kiselis Insurance Services
Insurance Quotes
(214) 824-2844

TYPES OF COVERAGE AVAILABLE
Main Page

Term Insurance

Universal Life Insurance
Individual Health Insurance
Group Health Insurance
Dental Plans
Impaired Risk
Qualified Annuities
Non-Qualified Annuities
Long-Term Care
Medcare Supplement
Disability

Kiselis Contemporary Art

 

Click here for a free. no obligations quote on travel insurance.
Travel Insurance

Perfect if you are between jobs, a recent college grad  or  waiting on your employer insurance to kick in.

John Alden Short
Term Medical Online

 

 

LONG TERM CARE INSURANCE


Please fill in the following information to receive a competitive quote.
TAB between fields until all data has been filled in before hitting the return key.
Press the SUBMIT button when you are ready to SEND the information to me.
All information will be kept strictly confidential.

Name :


Address :

Date of birth :

Spouse date of birth :

Please select one:
Smoker Non-smoker

List in the box below any current health problems:

Phone numbers where you can be reached :
Day Voice :


Night Voice :

Fax :

E-mail address :

Key in any additional information below
(e.g. Home health care, Nursing Home or combination.)



Mark M. Kiselis

(214) 824.2844

 

 

 

 

6162 E. Mockingbird Ln., Suite 118
Dallas, Texas 75214
(214) 824-2844 phone
(214) 824-2300 fax

mark@mkiselis.com