Non Medical Quote

Non Medical Life Insurance Quote

Non medical life insurance does not require a doctor's visit or a medical exam. If you have been denied in the past, hard to insure or have some medical conditions, we can help you get insurance protection.

All you have to do is answer a few "yes" and "no" health questions. Our goal is to help you find the insurance protection your family needs and deserves.

These are the benefits for you:

Insurance proceeds are 100% tax free
You can choose either Whole Life or Term Insurance
You have ten (10) days to examine your policy
All insurance companies are members of Assuris (www.assuris.com). Assuris is a not for profit organization that protects Canadian policyholders in the event that their life insurance company should fail.

Please fill in the form below and one of our qualified advisors will get back to you shortly. We look forward to hearing from you.

Required fields are marked with (*)

Type of Coverage:

Number of Insured:

Person 1
* Amount of Coverage:
* Date of Birth:
* Nearest age:	yrs
* Sex:	Male Female
* Smoker:	Yes No
* Approx height:	ft in
* Approx weight:	lbs
Specify your medical condition. (Heart attack, stroke, diabetes (pills), diabetes (insulin), cholesterol, high blood pressure etc.)
* First Name:
* Last Name:
* E-mail:
* Home Phone:
* Bus/Cell Phone :
Would you like to be contacted by:
Best time to contact:

Person 2
*Amount of Coverage:
* Date of Birth:
* Nearest age:	yrs
* Sex:	Male Female
*Smoker:	Yes No
*Approx height:	ft in
Approx weight:	lbs
Specify your medical condition. (Heart attack, stroke, diabetes (pills), diabetes (insulin), cholesterol, high blood pressure etc.)
Comments

Person 3
*Amount of Coverage:
* Date of Birth:
* Nearest age:	yrs
* Sex:	Male Female
*Smoker:	Yes No
*Approx height:	ft in
Approx weight:	lbs
Specify your medical condition. (Heart attack, stroke, diabetes (pills), diabetes (insulin), cholesterol, high blood pressure etc.)
Comments

Person 4
*Amount of Coverage:
* Date of Birth:
* Nearest age:	yrs
* Sex:	Male Female
*Smoker:	Yes No
*Approx height:	ft in
Approx weight:	lbs
Specify your medical condition. (Heart attack, stroke, diabetes (pills), diabetes (insulin), cholesterol, high blood pressure etc.)
Comments

Person 5
*Amount of Coverage:
* Date of Birth:
* Nearest age:	yrs
* Sex:	Male Female
*Smoker:	Yes No
*Approx height:	ft in
Approx weight:	lbs
Specify your medical condition. (Heart attack, stroke, diabetes (pills), diabetes (insulin), cholesterol, high blood pressure etc.)
Comments

Home

About Us

Instant Online Quote

Contact Us