Eligibility Check

1

Where are you based in NZ?* This field is required.We might have local adviser that can see you in person for a coffee to discuss your needs!

Region

2

Tell us about you* This field is required.

First Name

Last Name

Please enter your email

3

Tell us about you* This field is required.

Please enter your Phone number

Date of Birth

4

What cover are you interested in?* This field is required.Pick all that apply.

Life Cover

Trauma/Critical Illness Cover

Mortgage Cover

Income Protection Cover

Business Cover

Private Medical/Health Cover

5

What risks are you concerned about?* This field is required.Select all the apply

Financial security for loved ones (kids, partners, people that depend on you, etc.)

Loss of Income (Off work due to illness or Injury)

Debt repayment (mortgages, loans, etc.)

Funeral and final expenses

Health and medical issues (Private Medical Care)

6

Any Pre-Existing Health Conditions we need to consider?* This field is required.Insurance Providers can look into all your existing health conditions. Answering this accurately is extremely important!

Health Conditions (High Blood Pressure, Diabetes..)

Critical Illnesses (Heart Attack, Stroke, Cancer...)

Broken bones/Ripped Muscles...

Surgeries

Other

7

Let's look at your BMI* This field is required.Insurance providers look at this as a general indicator for health risks. Our advisers can then check which insurer offers the best terms for you.

Height

Weight

8

Let's talk affordability!What are you comfortable with?

I am happy with 1 to 2 hours of my wages per week for Life insurance cover for me and my loved ones.

I currently spend a lot on my insurance cover. I am keen to look at cheaper options.

I would like the best value for money for my Life Insurance cover!