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Life Insurance

Amount of Coverage:
The amount that the beneficiary is going to receive when the insured dies.

Term Level:
The period of years for which you wish to be insured. Choose "Whole Life" for permanent Life Insurance.

Explain Conditions:
If you don't have any medical conditions that you are aware of, don't fill this field out. However if you have any medical conditions please list them in this field and answer the previous question with "Yes".

Disability Insurance

Yearly Salary:
The amount of money that you made last year.

Amount of Insurance (per month):
The amount of money you want to receive per month during your disability.

Elimination Period (days):
The number of days you want to wait after you become disabled before you start receiving the insurance.

Benefit Period (years):
The number of years you want to receive insurance after you become disabled.

Explain Conditions:
See the Life Insurance field with the same name.

Health Insurance

Interested in:
What you want your health insurance to cover? Only Drug Expenses or Dental Expenses only ? etc.

Any combinations of the above:
You are going to need this field if you want your Health Insurance to cover more than one of the above mentioned. ex. If you want your health insurance to cover your drugs,dental and hospital expenses write : Drugs,Dental,Hospital. Of course you may make any combination that you want.

if YES explain:
If you don't take any medications then don't fill this field out. If you take any medications please list them in this field and answer the previous question with "Yes".

Explain Conditions:
See the Life Insurance field with the same name.

Critical Illness Insurance

Plan Amount:
The amount of money that you want to receive if you get diagnosed with a Critical Illness.

Plan Type:
If you want to be insured for your whole life choose "Permanent". For any period of time choose "Term".

Explain Conditions:
See the Life Insurance field with the same name.

Mortgage Insurance

Coverage Type:
Decreasing/Level

Further Questions

If have any questions about any of these forms please address your questions to julian@starsads.com



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