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Can You Get Insurance If You’re Overweight?
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Insurance Options Questionnaire
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About How Much Life Insurance Protection Do You Need?
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The amount of life insurance you need depends on your financial situation and goals. A common rule of thumb is to multiply your annual income by 8–10.
$250,000
$500,000
$750,000
$1,000,000
$1,500,000
$2,000,000
Over $2,000,000
Enter Custom (Over $2M) Life Insurance Amount
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Your Pre-Existing Conditions and/or Insurance Risks (Select All That Apply)
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These issues can affect your approvals and premium costs. We’ll recommend the best options based on your unique situation.
Overweight/High BMI
Cannabis Usage
Cigar Smoker
Anxiety and/or Depression
High Cholesterol
Hypertension (High Blood Pressure)
Previous DUI/DWI
Hidden
Counter
If a medical condition, are you seeing a doctor for this?
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Yes
No
If DUI/DWI, more than 5 years ago?
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Yes
No
Have you been declined life insurance in the last 2 years?
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Yes
No
If traditional life insurance isn’t available due to your conditions, is it still important to have guaranteed funds at death to cover expenses such as burial, debts, etc?
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Yes
No
Date of Birth
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MM slash DD slash YYYY
Gender (assigned at birth)
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Male
Female
US Resident?
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Yes
No
US Citizen?
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Yes
No
Email
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State of Residence
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Insurance rates and rules vary by state, so your state of residence matters when finding your best rate options.
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
What are your main financial and insurance goals? (Select all that apply)
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Protect my loved ones
Pay off my mortgage
Cover final expenses & burial costs
Plan for retirement and/or other future goals
Protect my business financially if I pass away or become disabled
Improve all my insurance rates, including auto, home, etc.
Get peace of mind by planning for the future
Consent
Yes – please give me my customized recommendations and send me email insights based on my specific needs and goals.
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