We offer a variety of coverages based on your specific needs. If you have a good driving record we have very competitive auto rates. For an instant quote on your Auto Insurance, click on the "Auto Insurance Quote & Apply Online" logo below; Or, for a more thorough quote, fill out the preliminary form below and an agent will contact you. We will not distribute your name, e-mail, phone or address to others.

Name Address City State Zip Work Phone Home Phone E-mail Present Auto Insurance Company Date Auto Insurance Expires Do you own a home? Yes No How long at your present address? Car#  Year Make Model 2dr/4dr Miles to Work (one way) Annual Mileage 1 2 3   Driver Name Driver Name Driver Name   Date of Birth Sex Marital Status Occupation Soc. Sec.# Driver's License # (Required) Number of Tickets in Last 3 Years Number of Accidents in Last 3 Years Percent of Use   Car #1 Car #2 Car #3 LIABILITY LIMIT FOR ALL CARS Bodily Injury Property Damage Single Limit   choose one 25,000/50,000 25,000 60,000 50,000/100,000 50,000 100,000 100,000/300,000 100,000 300,000 250,000/500,000 500,000 500,000 Choose either Bodily Injury & Property Damage OR Single Limit Car # Deductible Comprehensive Deductible Collision Tow Loss of Use 1 100 250 500 250 500 1000 Yes Yes 2 100 250 500 250 500 1000 Yes Yes 3 100 250 500 250 500 1000 Yes Yes    Pacific Benefit Consultants, Inc. 450 Country Club Rd. Suite 330 Eugene, Oregon 97401 (541) 484-6624 (541) 686-2726 (Fax) (800) 588-8688 (Toll Free)     Home Page   ||   Who We Are   ||   Auto & Homeowners Insurance Commercial Property & Casualty   ||   Life & Financial Services Health Ins.   ||   Senior Ins. Services   ||   Group Health   ||   Consulting Services Map to Our Office   ||   Contact Us   ||   Links   ||   Site Map