"Inst-A-Quote" TM is so easy to use:

  1. Find your client's problem in the "Impairment Index" below

  2. Fill out the form on-line and e-mail it  to us.

  3. After we receive your information and if we have no further questions, we will be back to you within 24 - 48 hours with an Inst-A-Quote TM on your client, proposals, and a formal application to write your case. Thank you for using our exclusive Inst-A-Quote TM service.
Medical Impairment Index
1. General Risk Profile

Answer if impairment is not listed below

General Risk Profile

2. Alcohol Abuse
Alcohol
3. Cancer
Cancer
4. Cardiac Coronary Artery Disease

Angioplasty / Bypass
Arrhythmia
Angina (Chest Pain)
Heart Attack (Myocardial Infarction)
Murmur

5. Diabetes
Diabetes
6. Drug Abuse
Drug Abuse
7. Epilepsy / Seizures
Epilepsy / Seizures
8. Gastrointestinal Problems
Gastrointestinal Problems
9. Hypertension / High Blood Pressure
Hypertension (High Blood Pressure)
10. Liver Disorders / Hepatitis
Liver Disorders / Hepatitis
11. Mental / Nervous Disorders
Mental / Nervous Disorders
12. Overweight / Obesity
Obesity / Overeating
13. Stroke / Cerebrovascular Accident
Stroke (Cerebrovascular Accident)
 
Non-Medical Risks
14. Moral Hazards
Moral Hazards
15. Aviation
Aviation
16. Foreign Nationals
Foreign National
17. Hazardous Sports
Racing (Car, Boat, Motorcycle)
Scuba / Skin / Free Diving
Sky Diving
18. Jumbo Risk / Financial Justification
Jumbo Risk / Financial Justification
 
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Securities Offered Through Variable Life Brokerage Distributors
a division of ING Financial Partners, Inc.
Member SIPC
Diversified Underwriters Services Inc., is not a subsidiary of nor controlled by VLBD/ING Financial Partner, Inc.

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