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Step 1 - Personal Information


Coverage calculator

  • To calculate an accurate quote that fits your coverage needs, we will need to ask you questions about:


    1. Your personal information

    2. Your legacy

    3. Your finances


    We use this set of questions to check your eligibility and calculate how much coverage you may need



    First, tell us more about yourself

    Date of Birth MonthDate of Birth DayDate of Birth Year
  • Gender
    Gender Male
    Gender Female
  • What is the definition of a non- smoker? Means an individual who has not used any form of tobacco, nicotine, or marijuana, including the use of cigarettes, e-cigarettes, cigars, cigarillos, chewing tobacco, nicotine gum or patches or marijuana product, during the twelve (12) month period before the Application date
    Smoker Status
    Smoker Status Smoker
    Smoker Status Non Smoker
  • Where do you currently live?