Compass Insurance Individual Health Insurance Quote. Compass Insurance Individual Health Insurance Quote. If you are a human and are seeing this field, please leave it blank. Fields marked with a * are required. First Name * Last Name * DOB Home Zip Code Tobacco Use YesNo How Long? Email * Contact Name Phone * Address 1 Address 2 City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampsire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Spouse First Name Spouse Last Name Spouse DOB Tobacco Use YesNo How Long? Dependent First Name Dependent Last Name Dependent Date of Birth Check Box to Add Another Dependent Dependent First Name Dependent Last Name Dependent Date of Birth Check Box to Add Another Dependent Dependent First Name Dependent Last Name Dependent Date of Birth Check Box to Add Another Dependent Dependent First Name Dependent Last Name Dependent Date of Birth Please Check Off The Types Of Insurance Your Interested In: General LiabilityWorker’s CompCommercial AutoGroup BenefitsPayroll SolutionsGroup Health PlansIndividual Health InsuranceTime Tracking SystemsPayroll ServicesPEO/ Employee LeasingGroup BenefitsDental InsuranceVision InsuranceDisability InsuranceSupplementalsRetirement Options/InvestmentsLife InsuranceHealth InsuranceDisability Insurance What is four plus two? *