Life Insurance Calculator

1

Do you currently have an income?* This field is required.

Yes

No

2

Your annual income $

3

# of years to cover incomeRecommend putting 3-7 years. It's the # of years your family will need to replace income or reduce expenses.

4

Do you currently have a mortgage?* This field is required.

Yes

No

5

Mortgage balance $Whether or not your family would use life insurance to pay off the mortgage right away, it makes sense to cover mortgage payments.

How much is left on a home mortgage?

6

Do you have children that you expect to attend college?* This field is required.

Yes

No

7

Total cost of education $Recommend putting $72,000 for four-year in-state public university and $158,000 for private college

Mouse-over for hint

8

# of children

9

Current debt $* This field is required.Debts other than mortgage

Auto loans, credit cards, home equity line, etc.

10

Estimated final medical and funeral expenses $* This field is required.

Typically $10,000-$15,000

11

Available assets $* This field is required.You may or may not choose to subtract your assets from your life insurance need after a discussion with your Agent.

Savings, CDs, Other

12

Do you currently have any life insurance?* This field is required.

Yes

No

13

Other life insurance value $Include any individual policies. Don't include accidental death insurance.

14

Email calculation result to:* This field is required.

15

RESULTA positive amount is how much additional life insurance you may need. A negative amount means that you may have enough already.

16

Would you like a Life Insurance policy quote?

Yes, please send!

No thanks

17

Your name

First Name

Last Name

18

Phone #