Getting a quote is fast and easy. With the right team.

No one better understands the unique insurance needs of ranchers and land owners. Put us to the task to see how we could save you some hard-earned dollars. No obligation, nothing to lose. Except perhaps…great coverage!

Get a quote – with three easy options:

Call

Give us a ring at 1-800-252-2849. Yes, a real human will be here for you! You can also click or tap the convenient links to directly connect to our team.

Click

Just fill out our Easy Online Form below, and we’ll get right back to you with more info.

Download

Use our simple-to-complete Group Coverage form, and email or fax it back to us at 817-977-6775. Learn more if you have an Individual Medical request.

Use our Easy Online Form for a Group Coverage quote at any point within the calendar year; effective dates are either the 1st or the 15th of the month.

Approval is not guaranteed.

Contact Name*

First Last

Requested Start Date*

Business Name*

Full Business Address*

Street Address Address Line 2 City State ZIP Code

Email*

Phone Number*

Nature of Business*

Current Coverage (Choose One)*

Individual

Group*

TSCRA Association

*If on current group coverage, please remit your most recent renewal documents or your current plan design(s), rates and renewal date.

How did you hear about Cattle Raisers Insurance?

Employee 1 Information

Name*

Please list all eligible employees. If dependents will be covered, please list their information as well.

Date of Birth*

Gender*

Male

Female

Home ZIP Code*

Coverage Election*

EO - Employee Only

ES - Employee + Spouse

EC - Employee + Children

EF - Employee + Family

Waive - Has other coverage

Declines coverage

Dependent Information

Spouse Name (if applicable)

Date of Birth

Gender

Male

Female

Child 1 Name (if applicable)

Date of Birth

Gender

Male

Female

Child 2 Name (if applicable)

Date of Birth

Gender

Male

Female

Additional Dependents

Be sure to list gender and date of birth for each additional dependent listed here.

Employee 2 Information

Name*

Please list all eligible employees. If dependents will be covered, please list their information as well.

Date of Birth*

Gender*

Male

Female

Home ZIP Code

Coverage Election*

EO - Employee Only

ES - Employee + Spouse

EC - Employee + Children

EF - Employee + Family

Waive - Has other coverage

Declines coverage

Dependent Information

Spouse Name (if applicable)

Date of Birth

Gender

Male

Female

Child 1 Name (if applicable)

Date of Birth

Gender

Male

Female

Child 2 Name (if applicable)

Date of Birth

Gender

Male

Female

Additional Dependents

Be sure to list gender and date of birth for each additional dependent listed here.

Add a third employee?*

Yes

Employee 3 Information

Name*

If you do not have additional employees to list, please enter NONE for this line.

Date of Birth*

Gender*

Male

Female

Home ZIP Code*

Coverage Election*

EO - Employee Only

ES - Employee + Spouse

EC - Employee + Children

EF - Employee + Family

Waive - Has other coverage

Declines coverage

Dependent Information

Spouse Name (if applicable)

Date of Birth

Gender

Male

Female

Child 1 Name (if applicable)

Date of Birth

Gender

Male

Female

Child 2 Name (if applicable)

Date of Birth

Gender

Male

Female

Additional Dependents

Be sure to list gender and date of birth for each additional dependent listed here.

Add a fourth employee?*

Yes

Employee 4

Name*

If you do not have additional employees to list, please enter NONE for this line.

Date of Birth*

Gender*

Male

Female

Home ZIP Code*

Coverage Election*

EO - Employee Only

ES - Employee + Spouse

EC - Employee + Children

EF - Employee + Family

Waive - Has other coverage

Declines coverage

Dependent Information

Spouse Name (if applicable)

Date of Birth

Gender

Male

Female

Child 1 Name (if applicable)

Date of Birth

Gender

Male

Female

Child 2 Name (if applicable)

Date of Birth

Gender

Male

Female

Additional Dependents

Be sure to list gender and date of birth for each additional dependent listed here.

Add a fifth employee?*

Yes

Employee 5

Name*

If you do not have additional employees to list, please enter NONE for this line.

Date of Birth*

Gender*

Male

Female

Home ZIP Code*

Coverage Election*

EO - Employee Only

ES - Employee + Spouse

EC - Employee + Children

EF - Employee + Family

Waive - Has other coverage

Declines coverage

Dependent Information

Spouse Name (if applicable)

Date of Birth

Gender

Male

Female

Child 1 Name (if applicable)

Date of Birth

Gender

Male

Female

Child 2 Name (if applicable)

Date of Birth

Gender

Male

Female

Additional Dependents

Be sure to list gender and date of birth for each additional dependent listed here.

Add a sixth employee?*

Yes

Employee 6

Name*

If you do not have additional employees to list, please enter NONE for this line.

Date of Birth*

Gender*

Male

Female

Home ZIP Code*

Coverage Election*

EO - Employee Only

ES - Employee + Spouse

EC - Employee + Children

EF - Employee + Family

Waive - Has other coverage

Declines coverage

Dependent Information

Spouse Name (if applicable)

Date of Birth

Gender

Male

Female

Child 1 Name (if applicable)

Date of Birth

Gender

Male

Female

Child 2 Name (if applicable)

Date of Birth

Gender

Male

Female

Additional Dependents

Be sure to list gender and date of birth for each additional dependent listed here.

Add more employees?*

Yes

Additional Employees

Please list any additional employees after the above. Include date of birth, gender, zip code and coverage election for each employee listed. *PLEASE NOTE: if you do not list all the required information, your quote will not include these employees.

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Ask us your questions!

Michele Woodham

Executive Director,
Insurance Services
800-252-2849 option 3

Email Michele

Jeanette Ortega

Group Account
Manager
800-252-2849 option 2

Email Jeanette

Sarah Jenkins

Client Account
Manager
800-252-2849 option 1

Email Sarah