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LIFE INSURANCE

Why should I buy life insurance?

Many financial experts consider life insurance to be the cornerstone of sound financial planning. It can be an important tool in the following situations

Replace income for dependents

If people depend on your income, life insurance can replace that income for them if you die. The most commonly recognized case of this is parents with young children. However, it can also apply to couples in which the survivor would be financially stricken by the income lost through the death of a partner, and to dependent adults, such as parents, siblings or adult children who continue to rely on you financially. Insurance to replace your income can be especially useful if the government- or employer-sponsored benefits of your surviving spouse or domestic partner will be reduced after your death.

Pay final expenses

Life insurance can pay your funeral and burial costs, probate and other estate administration costs, debts and medical expenses not covered by health insurance.

Name
Email
Phone
Occupation
Resident State
Date of Birth
Male/Female MaleFemale
Citizenship Status
Current Height
Current Weight:
Has there been major weight changes in the last 12 months?
Tobacco Usage
Do you currently use or in the last 5 yrs used any Tobacco or Nicotine based product? If yes,
provide details
Do you have any medical history of the following? (Y/N) YesNo
Coronary Artery Disease/Heart Related Diseases YesNo
Diabetes YesNo
CancerYesNo
Cerebral Vascular Disease or StrokeYesNo
Hepatitis YesNo
Alcohol/Drug Abuse Treatment in last 10 yrs YesNo
Depression/Anxiety Treatment YesNo
Abnormal Labs (ex. Liver or Renal Functions) YesNo
Gastrointestinal (ex. Crohn’s, Ulcerative Colitis) YesNo
Sleep Apnea YesNo