Your Cover
*
How much is left to pay for your mortgage? If you pass away, we'll pay the money in one payment.
How many years do you need cover for? You want the end of your insurance to coincide with the conclusion of your mortgage payments.
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How much insurance do you need for the protection of your family?
*
I know how much coverage I need
I know how much I want to pay monthly
Amount of coverage you need
premium 1
Amount you want to pay monthly: You must to pay at least £5.
premium 2
How many years do you want life insurance? Consider how long your loved ones will require financial protection - for example, until your partner retires or your children become financially independent.
*
This insurance is for:
*
Do you have another Life Care insurance policy? Existing Life Care policyholders get a 7% discount.
*
Yes
No
Discount amount
Do you want to consider inflation?
*
Yes
No
Inflation premium
Critical illnesses
You can add critical illness coverage to your Direct Line Life Insurance policy for an extra fee, which is known as Critical 3. In addition to your life insurance, you'll be covered for cancer, a heart attack, or a stroke. If a Critical 3 claim is paid, the Critical 3 insurance terminates, but your Life Insurance continues as long as you continue to make monthly payments.
Do you want to add critical illness cover?
*
Yes
No
Critical illness cover
Critical illness premium
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Next
Your Personal Details
Your Title
*
Mr
Mrs
Miss
Ms
Mx
Dr
Other
Your Name
*
First Name
Last Name
Your Gender
*
Female
Male
Today's date 1
-
Day
-
Month
Year
Date
Your date of birth
*
-
Day
-
Month
Year
Date
Real age 1
Age rate (18-28)
Age rate (29-39)
Age rate (40-50)
Age rate (51-61)
Age rate (62-72)
Age rate (73-77)
Have you used cigarettes, nicotine-containing e-cigarettes, cigars, a pipe, or other nicotine substitutions?
*
Yes
No
Cigarette premium
Which of the following statements best describes you?
*
I've never smoked
Regularly, occasionally or socially
I used nicotine in the past
When did you give up smoking?
*
Within the Last 12 months
More than 12 months ago
More than 3 years ago
More than 5 years ago
Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Postal code search
*
Final premium 1
payable 1
payable 2
payable3
payable 4
payable 5
payable 6
Details of the other person
Your Name
*
First Name
Last Name
Your Gender
*
Female
Male
Today' s date 2
-
Day
-
Month
Year
Date
Partner's date of birth
*
-
Day
-
Month
Year
Date
Real Age 2
Age rate 2 (18-28)
Age rate 2 (29-39)
Age rate 2 (40-50)
Age rate 2 (51-61)
Age rate 2 (62-72)
Age rate 2 (73-77)
Does your partner want to have critical illness coverage?
*
Yes
No
Critical illness coverage partner
Critical illness premium partner
Has your partner used cigarettes, nicotine containing e-cigarettes, cigars, a pipe, or other nicotine substitutions?
*
Yes
No
Which of the following statement best describes your partner?
*
Has never smoked.
Smokes regularly, occasionally or socially
used to smoke in the past.
Cigarette premium partner
When did your partner give up smoking?
*
Within the last 12 months
More than 12 months ago
More than 3 years ago
More than 5 years ago
Your partner email
example@example.com
Your partner address
Use the same address details as above.
Partner address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Final premium 2
payable 2-1
payable 2-2
payable 2-3
payable 2-4
payable 2-5
payable 2-6
Premium payable1
Premium payable2
Premium payable
Number
Should be Empty: