Skip to the content

Call: (301) 334-3968

Text: (301) 969-2314

Insurance Services
I Am...
- An Individual or Family
About
My Policy
Contact Us

Home > Auto Insurance Quote

Auto Insurance Quote

First Name

Last Name

Mobile

Is it ok to text you?

Yes

No

Phone

Email

Mailing Address

Street Address Address Line 2 City State ZIP Code

Physical Address

Street Address Address Line 2 City State ZIP Code

Own or Rent or Other?

Own

Rent

Other

How Many Years?

Previous Address

Street Address City State ZIP Code

Driver's License #

Age or Year When First Licensed

Have you ever had your drivers license or drivers' privileges revoked or suspended?

Yes

No

Prior License

Highest Level of Education

Date of Birth

MM slash DD slash YYYY

Single / Married / Divorced / Widowed

Single

Married

Divorced

Widowed

Any One Else in the Household?

Yes

No

Relationship to you?

Any Children of Age to Drive?

Yes

No

Do they have their own car?

Yes

No

Do they have their own insurance?

Yes

No

In the past three years have you had any comprehensive losses? (deer claims, theft, fire)

Yes

No

What were they?

In the past three years, regardless of fault, have you been involved in an accident or have you reported a claim to an insurance company?

Yes

No

What were they?

In the past three years have you received a ticket for speeding or any other violation?

Yes

No

If speeding, speed limit/actual speed

Other:

Ever been arrested for any reason?

Yes

No

Occupation/Student

Employer/School

Do you have any physical or mental impairment or disability that would affect your ability to drive?

Yes

No

Prior Coverage Info

Prior Carrier

Renewal Date

MM slash DD slash YYYY

Premium

Had an auto insurance refused, cancelled, or expired in the last 3 years?

Yes

No

Have you ever been excluded or restricted on any auto policy?

Yes

No

Company, policy, date and reason

In the past three years have you ever been required to file evidence of financial responsibility?

Yes

No

FOR MARYLAND- has any driver refused to submit to a chemical test or been given probation before judgement for an alcohol or other vehicle code in the past three years?

Yes

No

Other Drivers

(who else drives the vehicles being listed on the policy?)

First Name

Last Name

Phone

Relationship

Date of Birth

MM slash DD slash YYYY

Drivers License #

When Licensed

Single / Married / Divorced / Widowed

Single

Married

Divorced

Widowed

Ever been Excluded as a Driver

Yes

No

Any Accidents, Claims, Violations

Yes

No

Occupation/Student

Employer/School

If Retired - From Where?

Military?

Yes

No

Notes / Additional Details

Vehicle Details

Year

Make

Model

Driver

Vin#

Owned How Long?

If New - Where Purchased?

Price Paid?

Lien Holder

Deductibles: Comp

Deductibles: Coll

Used for

Pleasure

Work / School

Days per Week

How Many Miles One Way?

How Many Miles Per Year?

Any Existing Damage?

How Is Vehicle Titled?

Current Coverage Amounts

Liability / Full Bodily

State Minimum Liability Coverage

Yes

No

Property Damage

15/1,000,000

Personal Protection (PIP)

Medical 2500 - 10,000

Comprehensive Deductible

Collision Deductible

Road Service? (covers Towing, Locked Doors, Repair Flat)

Yes

No

Transportation Exp (Rental Coverage)?

Yes

No

Car Rental Classes

Class 1 INCLUDED in Comp- Compact Sedan

Class 2 - $20.00 per day - Traditional Sedan

Class 3 - $30.00 per day- Smal SUV/Pickup

Class 4- $40.00 per day- Minivan/Midsize SUV

Class 5- $50.00 per day- Luxury Sedan/Large SUV

Endorsements

Erie Auto Plus

New Auto Security Coverage

Erie Auto Plus and New Auto Security Coverage

File

Max. file size: 59 MB.

Consent

I grant Healy Insurance Group the ability to send relevant text messages to the phone number provided. Text messaging rates apply. The frequency of text messages will vary. Reply STOP at any time to unsubscribe from text messages.

Email

This field is for validation purposes and should be left unchanged.

Δ

Customer Reviews

MM

Great service! They responded super quick to both claims I had to file.Melissa M., Oakland, Maryland

Friendly people and great to deal with.Bryan �., Oakland, Maryland

Outstanding serviceTim A., Oakland, Maryland

SB

Great people very helpfulSteve B., Oakland, Maryland

S

Great hometown insurance company.Simplertymeshomestead, Oakland, Maryland

CS

Great service!Cinda S., Oakland, Maryland

KM

insurance, yes!Keith M., Oakland, Maryland

MM

Joe Healy and his staff are an amazing group of agents. They are very...Mark M., Oakland, Maryland

TM

Great insurance company 👍👍TJ m., Oakland, Maryland

DB

Very professional, great service, and sufficient time to get the job done!Debrah B., Oakland, Maryland

See All Reviews See All Reviews

Contact

Healy Insurance Group, Inc.

110 S 2nd Street
Oakland, Maryland 21550

Phone: (301) 334-3968

Text Only: (301) 969-2314

Fax: (301) 334-1130

Mon-Fri: 8:30am-5:00pm
Sat-Sun: By Appointment

Google Maps Logo (opens in new tab)Yelp Logo (opens in new tab)Facebook Logo (opens in new tab)LinkedIn Logo (opens in new tab)Instagram Logo (opens in new tab)

Insurance

Auto, Home, and Personal Insurance
Business Insurance
Life Insurance
Medicare Plans

About

About Us
Meet Our Staff
Customer Reviews
Insurance Companies
Insurance Blog

Policy Service

My Policy
Online Billing & Payments
File A Claim
Policy Change Request
Annual Insurance Review

Healy Insurance Group, Inc. provides auto, car, home, homeowners, life, business, and commercial insurance to all of Maryland and West Virginia, including Deep Creek Lake, Swanton, McHenry, Accident, Mountain Lake Park, Deer Park, Kitzmiller, Friendsville, Grantsville, Mt. Storm, Bayard, Terra Alta, Aurora, Gormania, Eglon, Thomas, and Parsons.

© Copyright 2025, Healy Insurance Group, Inc. | Privacy Statement | Accessibility Statement | Login

Insurance Website Designers(opens in new tab)

Medicare Smart Enroll
Medicare Smart Enroll
We offer Medicare Supplements, Medigap, Medicare Advantage and Part D. Click on the link below to begin the process. Or call our office today at 301-334-3968 and ask for Amanda Lewis, our Medicare Expert!
Smart Enroll