Life Insurance Quote Please Note: Quotes are for term life when the “Initial Level Insurance Period” list box has a selected item that does not start with “Whole Life”. If “Initial Level Insurance Period” list box has a selected item that starts with “Whole Life …” then it is a quote for whole life insurance. Whole life is more complicated than term life, and we recommend calling us for a consultation. Please fill out the following and click on the Submit button below. First Name (required) Last Name (required) Address 1 (required) Address 2 City (required) Province (required) OntarioAlbertaBritish ColumbiaManitobaQuebecNew BrunswickNewfoundlandNova ScotiaNorthwest TerritoriesNunavutSaskatchewanYukon Postal Code (required) Email Address (required) Home Phone Number (required) Work Phone Number (required) Contact By (required) PhoneEmail Time to Call Gender (required) MaleFemale Date of Birth Do you smoke? (required) YesNo Amount of Insurance (required) $50,000$75,000$100,000$150,000$200,000$250,000$300,000$350,000$400,000$450,000$500,000$600,000$700,000$750,000$800,000$900,000$1,000,000$1,250,000$1,500,000$1,750,000 Premiums Paid (required) YesNo Describe your health (required) RegularRegular +PreferredPreferred + Initial Level Insurance Period (required) 5 Year10 Year15 Year25 Year30 YearTerm to 65Term to 70Term to 75Whole Life (adjustable) Life PayWhole Life (Gtd) Life PayWhole Life Gtd pay to 65Whole Life Gtd 20 payWhole Life Quick PayTerm to 100 life pay adjustableTerm to 100 Gtd Life Pay * The following describes the different health classifications, which are indicators that help determine the underwriting criteria (health and living style) that you will need to satisfy to qualify for the calculated premium. Note that there is an example below: Regular (Rg) : indicates a rate for a person in normal health who does not have a medical condition or lifestyle condition that increases their risk of dying in the future. Regular Plus (R+) : indicates a rate for an individual in somewhat better health than regular, but not what the life insurance industry typically refers to as “preferred health”. A company offering this premium also offers a regular health premium, which is less difficult to qualify for. Preferred (Pf) : indicates a rate for an individual in preferred health. A company offering this premium also offers a regular health premium, which is less difficult to qualify for. Preferred Plus (P+) : indicates a rate for an individual in very preferred health. A company offering this premium also offers preferred and regular health premium, which are less difficult to qualify for. Example : A person who has high blood pressure may not qualify for P+, Pf or R+ premium rates, but may qualify for Rg rates. A person who has a risky life style (e.g. airline pilot) may not qualify for P+ or Pf rates, depending on their health condition, but may qualify for R+ or Rg rates. Please contact us for more details. Note that rates quoted for smokers take into account that the insured person smokes, and has a greater risk of death compared to non-smokers (i.e. rates offered to smokers are higher than those for non-smokers).