Underwriting

Trial Application

Fill out a trial application to authorize us to obtain and disclose your client’s medical information in order to obtain preliminary quotes for complicated cases.

Does your client have a complicated medical history preventing him/her from being insured?

Don’t let less than perfect health stop you from getting your client the coverage so needed. Just provide us with some basic medical history by Requesting a Quote. Well discuss your client's insurability with several different underwriters from several different carriers on a preliminary basis as a ‘Trial App’.

Just download and fill out our Trial App, and we’ll do the rest.

Once we have a tentative offer, we’ll run you all the quotes and illustrations using the tentative rate class. Remember that tentative offers are not a promise of coverage and that the final rating and rate class are always subject to the formal application, age/amount requirements, MVR, MIB, Pharmacy Check, and any other medical records or requirements the underwriter requests.

 Download Trial Application

 

 

Contact Us

  • 1-866-759-0886

Do you sell IUL?

 

Run Quotes

Click here to run quotes! Run Quotes
Now!
Keep Up to Date with Our

E-Blast


Order an Exam

Order with any of these preferred providers, or let us order it for you!
  • Portamedic
  • EMSI
  • ExamOne
  • APPS

Click here for more Information

Trial Application

Authorization to Obtain and Disclose Information Download
Trial App