• Life Insurance Application Details

    Please fill the details as accurate as possible for better assistance
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    • Birth place and Immigration Status 
    • Taxation and Financial Info Details 
    • Employment 
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    • Family Doctor 
    • Driver's License Related 
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    • Current In-force Insurance Details 
    • Education 
    • Beneficiaries 
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    • A contingent beneficiary is like a backup plan for when someone is supposed to receive money or things from someone else. If the first person can't get the money or things for some reason, like they die or don't want them, then the second person gets them instead. It's like having a second choice just in case something goes wrong with the first choice.

      Example-

      Let's say John wants to leave his life insurance policy to his wife, Mary. However, John also wants to have a backup plan in case Mary passes away before him or cannot receive the benefits for any reason. In this case, John can name their son, David, as the contingent beneficiary. This means that if Mary is unable to receive the benefits, David will receive them instead.

      So, if John passes away and Mary is still alive, she would receive the benefits from the life insurance policy. But if Mary passes away before John or is unable to receive the benefits, then David would become the contingent beneficiary and receive the benefits instead.

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    • Tobaccoo Consumption related 
    • Alcohol Consumption related 
    • Family Medical History 
    • Has any member of your family (father, mother, brother, sister) suffered from one of the following conditions before the age of 65?
      You are not required to disclose a family history of hypertension, high cholesterol, or depression.

      1. Cancer*
      2. Multiple sclerosis
      3. Amyotrophic lateral sclerosis (ALS or Lou Gehrig’s disease)
      4. Polycystic kidney disease**
      5. Death from an unknown cause
      6. Cardiovascular disease (e.g.: CVD, myocardial infarction)
      7. Parkinson’s disease
      8. Neurological disease** (excluding epilepsy)
      9. Hemophilia**
      10. Diabetes
      11. Alzheimer’s disease
      12. Huntington’s chorea**
      13. Any other hereditary disorder** (specify):
      14. I don’t know since I was adopted, or I have no contact with my family
      15. None of the Above
    • Personal Medical History 
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    • Do you suffer from or have you ever been diagnosed with a disorder or disease of the nervous system or a neurological condition

      1. Alzheimer's disease,
      2. Down syndrome,
      3. Parkinson's disease,
      4. Autism,
      5. Cerebral palsy,
      6. Mental impairment,
      7. Developmental disorder,
      8. Multiple sclerosis,
      9. Amyotrophic lateral sclerosis, etc)
      10. None of the Above
    • Height and Weight Related 
    • Travel Related 
    • COVID-19 Related Questionnaire 
    • Review and Submit 
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