Thank you for your interest.

Disability insurance helps replace income lost because of an accident or illness. One survey found that 43% of people aged 40 will suffer a disability of at least 90 days before they reach age 65.1

After completing the form, please click on the “Submit” button. Your information will be emailed to our offices and we will process your request. All information will be kept confidential.

1. 2000 Field Guide, National Underwriter

Contact Information


These quotes do not guarantee coverage and actual premiums may differ from the quotes provided.

Executive Plan Design

8355 Church St.

Gilroy, CA 95020

Phone: 408-767-2572 office 408-206-1625 cell

www.epdins.com • epdins@aol.com