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Critical Illness "Finder"
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To help us put forward suitable proposals to your requirements please complete the ‘critical illness finder' below. A specialist adviser will be in touch as soon as possible to discuss some of our fantastic offers.
Your Name * :
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Phone :
Mobile :
Date of Birth * :  (DD/MM/YYYY)
Sex : Male Female
Smoker? : No Yes
Cover Required
(Check one box) 		: LTA
(Level Term Assurance)
DTA
(Decreasing Term Assurance)
WOL
(Whole Of Life)
FIB
(Family Income Benefit)
Amount of Cover Required
(In 000's) 		:
Term
(In Years) 		:
Inflation Proofed? : No Yes
Waiver of Premium? : No Yes
If joint cover is required, please enter partner's details below, else click on 'Send'.
Partner's Name :
Date of Birth :  (DD/MM/YYYY)
Sex : Male Female
Smoker? : No Yes
Waiver of Premium? : No Yes
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If "other", please specify. :
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