Voice 800 700-7500 Fax 781 643-2775




Mountain Climbing



Please complete the underwriting information questionnaire and any other medical impairment page necessary to properly underwrite your client.

 

                                          * Mandatory Fields

 

Agents Info:

    *Name:  

      Agency:

    *Phone #:      *Fax #: 

    *E-mail address: 

 

Client Info:

    *Name:    

    *DOB:       *Height?      *Weight?    

    *Sex?      

 

If your client climbs mountains, please answer the following:

 

1. Where does your client climb?     Type?  

 

2. What is the maximum  level of technical training?  

 

3. Does your client do any ice climbing?  

 

  

 

 

Not so fast, say the term lifers. The only reason to have fast life insurance is to replace the lost income of a family member who dies, and then only when the spouse or family is dependent on that income. If you are single with no dependents and no debts fast life insurance . If you are married and your spouse works, you probably do not need fast life insurance, either, assuming your spouse makes enough to support himself or herself.

Please complete the Main Underwriting Worksheet and send it along with the this page or any other impairment page necessary to complete underwriting.



Main Underwriting Worksheet  / Medical and Avocation Selections Page / HOME

 


           

Insurance Professionals and Associates, IPA, a Life, Disability and Long Term Care Insurance Brokerage Agency Updates

Insurance Website Template. All content on this website is © Copyright 2000-2010 - All Rights Reserved
Website template powered by VooWeb.com Insurance Website Template
The content on this site may not be reused or republished. Insurance Website Template