Life Insurance Made Easy

Life Insurance Made Easy

Do you currently have life insurance? *

Yes

What is the face amount of your policy? *

Less than $100,000

$100,000 - $199,999

$200,000 - $299,999

$300,000 - $399,999

$400,000 - $499,999

More Than $500,000

What type of policy do you have? *

Joint Survivorship or Whole Life

Term Life

Universal Life

Joint Survivorship With One Deceased

Would you like a free appraisal of the current value of your policy? *

Yes

What is your gender? *

Male

Female

What is your marital status? *

Married

Single

Divorced

Separated

Widowed

Do you have children? *

Yes

What is your job status? *

Currently Employed

Retired

On Disability

Homemaker / Other

Have you used tobacco products within the last 12 months? *

Yes

In the past 5 years have you been treated or prescribed medication for any of the following conditions? *

I Have No Medical Conditions

Anxiety, Depression, or Bipolar

Chronic Pain

Heart or Circulatory Disorder

Cancer

Diabetes

Respiratory Disorder

Other Medical Condition

Do you have a mortgage? *

Yes

Do you have any other debt? *

Yes

Are you looking for the policy to cover your final expense? *

Yes

What type of funeral are you looking for? *

Casket

Cremation

I'm Not Sure

How much coverage are you looking for? *

$3,000 - $10,000

$10,000 - $15,000

$15,000 - $25,000

Are you looking for term or permanent? *

Term

Permanent

Neither

How much term/permanent are you looking for? *

Less than $100,000

$100,000 - $199,999

$200,000 - $299,999

$300,000 - $399,999

$400,000 - $499,999

More Than $500,000

Who will be your beneficiary? *

Date Of Birth

Month *

Click here to select

January
February
March
April
May
June
July
August
September
October
November
December
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Day *

Click here to select

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Year *

Click here to select

2000
1999
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1997
1996
1995
1994
1993
1992
1991
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1989
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1927
1926
1925
1924
1923
1922
1921
1920
No elements found. Consider changing the search query.
List is empty.

What is your height? *

What is your weight? *

City *

State *

Last step!

First Name *

Last Name *

Email *

Phone *

By clicking submit, YOU are agreeing to be contacted by The Insurance Medic LLC via phone, text, and email. The Insurance Medic LLC WILL NOT share your information outside of our agency.

Life Insurance Made Easy

Get A Quote In Minutes

Do you currently have life insurance? *

Yes

What is the face amount of your policy? *

Less than $100,000

$100,000 - $199,999

$200,000 - $299,999

$300,000 - $399,999

$400,000 - $499,999

More Than $500,000

What type of policy do you have? *

Joint Survivorship or Whole Life

Term Life

Universal Life

Joint Survivorship With One Deceased

Would you like a free appraisal of the current value of your policy? *

Yes

What is your gender? *

Male

Female

What is your marital status? *

Married

Single

Divorced

Separated

Widowed

Do you have children? *

Yes

What is your job status? *

Currently Employed

Retired

On Disability

Homemaker / Other

Have you used tobacco products within the last 12 months? *

Yes

In the past 5 years have you been treated or prescribed medication for any of the following conditions? *

I Have No Medical Conditions

Anxiety, Depression, or Bipolar

Chronic Pain

Heart or Circulatory Disorder

Cancer

Diabetes

Respiratory Disorder

Other Medical Condition

Do you have a mortgage? *

Yes

Do you have any other debt? *

Yes

Are you looking for the policy to cover your final expense? *

Yes

What type of funeral are you looking for? *

Casket

Cremation

I'm Not Sure

How much coverage are you looking for? *

$3,000 - $10,000

$10,000 - $15,000

$15,000 - $25,000

Are you looking for term or permanent? *

Term

Permanent

Neither

How much term/permanent are you looking for? *

Less than $100,000

$100,000 - $199,999

$200,000 - $299,999

$300,000 - $399,999

$400,000 - $499,999

More Than $500,000

Who will be your beneficiary? *

Date Of Birth

Month *

Click here to select

January
February
March
April
May
June
July
August
September
October
November
December
No elements found. Consider changing the search query.
List is empty.

Day *

Click here to select

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
No elements found. Consider changing the search query.
List is empty.

Year *

Click here to select

2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
No elements found. Consider changing the search query.
List is empty.

What is your height? *

What is your weight? *

City *

State *

Last step!

First Name *

Last Name *

Email *

Phone *

By clicking submit, YOU are agreeing to be contacted by The Insurance Medic LLC via phone, text, and email. The Insurance Medic LLC WILL NOT share your information outside of our agency.