Heart Conditions impaired risk underwriting

Heart Conditions impaired risk underwriting

_{_{Term
Life
America
^insurance}}

_{_{_{_{Term Life Insurance Quotes ...}}}}

Testimonial Reviews

Submit A Review

Term Life Insurance

       Apply!


Mon.-Fri. 9AM-5PM ET
Toll Free 888.587.8511

Help: Go

For: Policy Service
Phone Numbers Go
... Disability
Insurance Quotes!

Professional and Employer Group

Offering The Best
Policy Language For Physicians!

Available From Top Rated
Disability Insurance Companies!

... Long Term Care Insurance Quotes!

Available From Top
Rated Long Term Care Insurance Companies!

... Major Medical
Health Insurance Quotes!

Affordable Buy online in 10
minutes from a top rated carrier!

... America's Top Rated Term Life Insurance Companies· AIG
· Am. Mayflower
  · Banner
  · Chase

· Empire General
· Fidelity & Guaranty

  · First Colony
  · Genworth
   · ING
· Jefferson-Pilot
· Liberty

· Lincoln Benefit
· Lincoln National

  · North American
  · Protective
· Security Mutual
· Transamerica
· Union Central
   · U.S. Financial
  · West Coast
  · William Penn

... Life Insurance
Guide

... Business Life Insurance

◊ Term Life Insurance
    Applications-
    Underwriting Term Life
    Insurance Polices

◊ Term Life Insurance
    Paramedical Exam
    For Your Policy

◊ Term Life Insurance
    Beneficiary Designation

... Return of
Premium

Term  Life Insurance from:

◊ AIG
◊ Chase
◊ Fidelity & Guaranty
◊ Genworth

... Related Articles

◊ Wills, Trusts
◊ Probate
◊ Living Wills
◊ Living Trusts
◊ Drug Detection
◊ Tax Highlights
◊ State Life
   Insurance
   Departments
◊ Advice Notice
◊ Site Contents
◊ Spousal Insurance

License #'s: for Lewis Fink, CA: OC38446 MT: 29724 F00-0283-LC

Not all products from all
companies are available in all states. ◊ More

◊ Links

Heart Conditions

Obtain a tentative life insurance offer for an impaired underwriting risk that involves Heart Conditions by completing the form below:

* required information

**Please use TAB key to proceed to the next question field, not the ENTER key.**

*Applicant's Name:**
*Applicant's Address:**
*Applicant's Phone Number:**
*Applicant's E-Mail Address:**
Date Of Birth:
Sex:	Male Female
Height:
Weight:
Occupation:
Death Benefit:
Type of Product:	Term Universal Whole Life
Type of Product:	Second to Die Variable
Have you ever used tobacco or nicotine products?	Yes No If yes, what type of product did you use? (Select all that apply) Cigarettes Cigar Pipe Other
2. Date:
3. Symptoms:
4. Are you taking any medication now?	Yes No
4. Are you taking any medication now?	Name of medication:
5. When did you last have symptoms? (Chest pains, shortness of breath, sweating):
6. Date of last follow-up care by your physician:
7. Have you ever had a stress EKG (a treadmill, bicycle or medication induced stress test)?	Yes No
Date of last test?
8. Was a thallium or stress echo test done?	Yes No
8. Was a thallium or stress echo test done?	When? Results?
9. Was a cardiac catheterization (or an angiogram) done?	Yes No
	When?
10. Was any surgery suggested?	Yes No
	When?
	Type of Surgery?
11. Do you use tobacco products?	Yes No
If Yes, what type and how much?
	If No, did you ever use Tobacco products? Yes No
	If Yes, when did you quit?
12. Additional Comments?

Related Information

Application underwriting your life insurance policies

Determine your underwriting classification

Decision chart could help you decide the type of life insurance to purchase

TermLifeAmerica.com- Lewis Fink is licensed as an insurance agent offering Life Insurance in the following states: Alabama - AL, Arkansas - AR, California - CA, Colorado - CO, Connecticut - CT, Delaware - DE, District of Columbia - DC, Florida - FL, Georgia - GA, Idaho - ID, Illinois - IL, Indiana - IN, Iowa - IA, Kansas - KS, Kentucky - KY, Louisiana - LA, Maine - ME, Maryland - MD, Massachusetts - MA, Michigan - MI, Mississippi - MS, Missouri - MO, Montana - MT, Nebraska - NE, New Mexico - NM, New Jersey - NJ, New York - NY, North Carolina - NC, North Dakota - ND, Ohio - OH, Oklahoma - OK, Pennsylvania - PA, Rhode Island - RI, South Carolina - SC, South Dakota - SD, Tennessee - TN, Texas - TX, Utah - UT, Vermont - VT, Virginia - VA, and Wisconsin - WI.

Not all insurance products from all insurance companies are available in all states.

Return To Previous Page

Legal Information Site Map

Term Life America Insurance

888.587.8511
9:00AM - 5:00PM Eastern Time
PO Box 30248
Charleston, SC 29417

Copyright © 1999 - 2006
TermLifeAmerica.com

Heart Conditions impaired risk underwriting