If the 7 questions below can be answered with "No", you are eligible
for a $250,000 Term Insurance Policy with no underwriting requirements.
1. In
the past 12 months have you smoked cigarettes, cigars, pipes or used
tobacco or nicotine in any form including snuff, dip, chew, nicotine
patch, gum or other substitutes?
2. In
the past 5 years, have you had or been treated for or consulted a
physician or other practitioner for any of the following: heart or
coronary artery disease or disorder, stroke, peripheral vascular disease,
cancer, diabetes, hepatitis C, cirrhosis, pancreas disease or disorder,
emphysema or chronic lung or pulmonary disease (COLD or COPD), alcohol or
drug use?
3. In
the past 5 years, have you been hospitalized for the following: chest
pain, high blood pressure, asthma, depression, manic depression, other
mental and nervous disorder, paralysis, seizure, anemia, or kidney or
liver disease or disorder (excluding kidney stones)?
4. In
the past 2 years, have you had your driver’s license revoked, suspended or
been convicted of reckless driving, driving without a valid license or for
driving while under the influence of alcohol or drugs (DWI, DUI)? Or have
you had more than 2 moving violations in the past 12 months?
5. In
the past or next 12 months, have you engaged in or do you plan to engage
in risky activities, extreme sports or have you flown a plane other than
as a commercial airline pilot? Or are you engaged in a hazardous
occupation that exposes you to the risk of loss of life?
6. Have
you been diagnosed as having AIDS, AIDS Related Complex (ARC), or any
other disorder of your immune system or have you had a positive HIV test?
7. In
the past 12 months, have you either been hospitalized for 5 or more
consecutive days, or missed 5 or more consecutive days from work or school
other than for vacation or family leave?
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