| Please enter your
name: |
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Please choose
your age:
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Please choose
the amount of insurance you wish to illustrate:
(Enter an amount between $100,000 and $1,000,000 in units of $10,000.)
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$,0,000
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Please
choose your policy type:
(10 Year is only available for those 63 and younger; 20 year is only available for
those 53 and younger.)
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10 Year
20 Year
Ultimate
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| Please
choose your gender: |
Male
Female
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Do
you use tobacco (in any form)?
If so, your policy will be limited to $500,000.
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No
Yes
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For extra savings, you can take advantage
of our new superpreferred rates.
Savings can be substantial. To apply,
you must satisfactorily answer 4 additional
health questions on the application. Because
these rates require some added underwriting,
you benefit with lower premiums.
Note: The coverage amount is from
$250,000 to $1,000,000.
Also Note: TobaccoUsers are
not eligible for superpreferred
rates.
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Use SuperPreferred Rates?
No
Yes
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