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If you would like to see if your term insurance premiums can be lowered, or would
like a quote for new insurance, please fill out the short questionnaire below.

Term Quotes for Non-Americans


Required *

Please provide the following contact information:

*Name
Work Phone
Home Phone
*E-mail

*Date of Birth
Sex
*Country of Residence

*Citizenship

  
Male Female

We will calculate and compare your current rates and show you the savings you can expect.*If you do not own a term policy and simply want a quote, start with question # 3. Sample 20 year rates for Non-U.S. Citizens
Quotes will be emailed within 24 hours.

 1.Amount of  Current Insurance (if applicable) 
   
Policy anniversary date

Check here to be contacted for rate quote 6 weeks prior to policy anniversary

 2. Amount of Current Premium on above policy (yearly)   

*3. Amount desired  (U.S. $) and Term Period  
 
    
Term Period


*4. Do you use tobacco? 
 

 5. Please list any ties or connections to U.S.
   which may allow for lower rates (Example: Social Security #, American employer, relative who is a U.S. citizen, property or assets in U.S.)
  
 
*6 Health.


   Health explanation if required
  

 7. Questions or additional comments
  

Sample Rates
.
Non-American Term Rates -US$1,000,000  Non-Smoker  20 Year Guaranteed Annual Premium.

Age Annual Premium Male Annual Premium Female
35 $1,120 $910
40 $1,470 $1,140
45 $2,200 $1,550
50 $3,350 $2,340
55 $5,420 $3,540
60 $9,130 $5,860
Lower Rates May be Available     All rates quoted in US$

Rates  also available for 10 and 15 year terms
10 and 15 year rates will be lower
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Revised: 12/10/07