Request a Quote

Request a Quote


If you would like to request a quote please click on the applicable link and fill out all the info and click submit. Also you can choose to download the PDF form and fill it out and return it to us via email to

Medical / Dental Quote Request Form

Copyright Securance Corporation 2020

3100 S. Gessner Rd. #560 Houston, TX 77063

We are members of IIAH, IIAT and NAHU