Individual Disability Coverage

American Sentinel Insurance Company insures these occupations:

• Beauticians
• Bartenders
• Truck drivers
• Farmers
• Roofers
• Office workers
• Plumbers
• Electricians
• Contractors
• and many more..

Special Note:  We write in-home occupations and part-time employees. No minimum income required.

Policy is:

• Guaranteed Renewable to age 65
• Fully Portable (Policy is individually owned)
• Comprehensive Coverage - Accident and Sickness
• 24 Hour Coverage - Worldwide (Occupational or Non-occupational)
• Benefits are not offset by Workers’ Compensation & Social Security

The applications available for download are in Portable Document Format (PDF). In order to download and view these files you must have a version of Adobe Acrobat Reader.  Click here to download Adobe Acrobat Reader.

Delaware	6 Month Benefit Application	12 Month Benefit Application
Illinois	6 Month Benefit Application	12 Month Benefit Application
Indiana	6 Month Benefit Application	12 Month Benefit Application
Iowa	6 Month Benefit Application	12 Month Benefit Application
Louisiana	6 Month Benefit Application	12 Month Benefit Application
Maryland	6 Month Benefit Application	12 Month Benefit Application
Missouri	6 Month Benefit Application	12 Month Benefit Application
Nevada	6 Month Benefit Application	12 Month Benefit Application
New York	6 Month Benefit Application	12 Month Benefit Application
Ohio	6 Month Benefit Application	12 Month Benefit Application
Pennsylvania	6 Month Benefit Application	12 Month Benefit Application
South Carolina	6 Month Benefit Application	12 Month Benefit Application
West Virginia	6 Month Benefit Application	12 Month Benefit Application

This is only a brief description of the coverage.  See the Outline of Coverage and Schedule of Benefits on the appropriate state application for details.

For assistance in completing your application please call 1-800-692-7338.

All applications are pending underwriting approval.  Coverage is not effective until the original completed and signed application accompanied by full premium is received in the home office of American Sentinel Insurance Company.

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Some products are not available in all areas.  Please contact your Agent or American Sentinel for more information.  For California Auto policy Information, contact Cabrillo Pacific Insurance Services at 866-655-0555. For California Auto claims services, contact Tidewater Pacific Adjusters at 866-425-9970. Copyright © American Sentinel Insurance Company.  All rights reserved.