California Life Insurance

30423 Canwood Street, Unit#112,
Agoura Hills, CA 91301
Call Direct: 1-818-735-4959


Life Insurance

Kelley Insurance Agency has a wide range of Life Insurance and Annuities products to fit your needs. If you are looking for Whole Life Insurance, Universal Life Insurance, Mortgage Life Insurance, or Term Life Insurance we have it. We also have a large selection of Financial Investment and Retirement Savings to make your future prosperous and secure.

By filling out the questionaire below, you can take the first step in securing your and your families future.

PLAN ONE: Provides the home free of debt in the event of the death of the insured and/or spouse.

PLAN TWO: Provides the home free of debt in the event of death or will provide funds to pay off the mortgage early plus act as a retirement plan.


Life Insurance Quote Form - State of California

Please Complete One Form Per Person

Please Complete All Questions On The Form

Step 1: Contact Information
* Required field
Contact Info:
*First Name: 
*Last Name: 
Note: For a return quote please leave a fax number if available.
*Email Address: 
Please enter an e-mail address
*Street:    Street 2: 
*City:    *County: 
*Zip Code: 
Mailing Address (if diferent):
Mail address is same as above:
Street:    Street 2: 
City:    County: 
Zip Code: 
Step 2: General Information
General Information:
Birth Date: 
Note: Discount awarded to some occupations.
Marital Status: 
Do you have children: 
Are you a smoker: 
Describe any Health, Medical Condition or Surgery in the last 5 years: 
Are you taking any Prescription Drug(s): 
If Yes, what is it and how much: 
Mortgage Loan Amount: 
Mortgage Loan Interest Rate: 
Time remaining on mortgage loan: 
Step 3: Insurance Policy Information
Type of policy: 
Plan Two Coverage Amount: 
If Plan Two, Please specify an affordable monthly payment to pay into your plan: 
Note: The larger the amount you can afford to pay in, the greater the yield.

How much you can save on your insurance bill?

Request an insurance quote now by filling out the online form.

Service and Sales 1-818-735-4959
M - F:  9 a.m. to 6 p.m.
We sell insurance policies for:

Auto Insurance
Business Insurance
Health Insurance
Home Insurance
Life Insurance

Kelley Insurance Agency, California Insurance Broker
30423 Canwood Street, Unit#112,
Agoura Hills, CA 91301

Office: 818-735-4959
Fax: 818-735-9931
E-Mail Jim Kelley