Be as specific as you can on the underwriting questions below so we may find the most competitive product for you!
Does any family member living
in the household use or has used any tobacco products? (if yes give
dates, and details in remarks section).
Yes
No
Describe usage (cigar, cigarettes, etc, and how long.)
Any Pre-existing Health Conditions?
(If yes, descibe in detail, and to which of the insured persons they apply.)
Any Covered Persons Currently Taking Medication of Any Kind?
(If yes, descibe in detail, and to which of the insured persons they apply.)
What is it that you are wanting in your Accident plan?
(i.e., hospital expense coverage, lump sum payment, etc.)
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