Insurance Review

Greetings, my name is Carrie Lange, I look forward to protecting your future. Click my digital card for contact info: Carrie Lange digital card

Click here for a Life Insurance quote If you like what you see, click the "Start Application" button. You could be protecting your loved ones within minutes against the worst thing life can throw at them.

Click here to share your current Auto/Home/Renter insurance details with me. This step is not required, however it only takes a minute. Without this info, I will quote you with my reccomended coverages/deductibles, which you can adjust. If you haven't created an online account with your current insurer, there are links to create an account/reset your password.
If you don't have a middle name, type "none"*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
OwnRentLive with others
Email - I promise I won't spam you, it will only be used for our communication!*
example@example.com
Phone Number - this is only for my use, to communicate with you from my personal cell. Your number isn't shared and I won't spam you! *
Please enter a valid phone number.
Yes - I agree to receive necessary messages required for an insurance quote from Carrie Lange. This agreement isn’t a condition of any purchase. Carrie does NOT use AI or an Auto Dialer, although she sometimes copies/pastes prewritten messages to save time. My info will NOT be shared with third parties/affiliates for marketing/promotional purposes. If I text STOP at any time, Carrie will no longer text me.
Birth Date*

MonthDayYear
Gender you most closely identify with (Insurance carriers will require one of the following)*
Occupation / Employer*
Highest level of education*
Driver's license number*
State your driver's license is from*
Tickets handed to you by a personAt fault accidentsNot at fault accidentsClaims such as glass repair or towingNone of the above
Yes, Washington / Northern IdahoYes, another stateNo
YesNo
DogCatBirdReptileSmall mammalI don't have any petsOther
SingleMarriedWidowedPartnered
ADDITIONAL DRIVERS

List details for your spouse/partner even if they aren't licensed so you'll get the marriage discount.

lf a non-listed household member has an accident while driving your vehicle, coverage will be denied.
YesNo
Additional Driver #1 ~ to add more, click the "Add Row" button*
Vehicles - Each vehicle you add, earns another MULTI-VEHICLE DISCOUNT.

Each vehicle costs less for every added one! Especially ones that are being stored long term.

VIN isn't required, but will lead to a more accurate quote.
YesNo
DoorDash / GrubHub / Food or grocery deliveryUber / Lyft / passenger carryPizza deliveryCommercial / Business UseNone of my vehicles are used for any kind of business. They are for personal use onlyOther
List all vehicles.*
Home Owners - Packaging Auto and Home will save you money!

If you pay your insurance through your escrow account, don't worry, I know how to get your insurance switched over. It's not a problem.
YesNo
YesNo
YesNo
Additional properties*
Information about your primary residence
Year built*
Year you became the owner*
What year was the roof last updated/serviced/repaired/or replaced?*
ElectricGasOther
YesNo
YesNo
SlabCrawlspaceDaylight / Walkout basementBasement 100% below gradeOther
WoodVinylEngineered CompositeAll BrickOther
YesNo
YesNo
YesNo
Poor (major repair needed, might be considered dangerous to live in)Fair (needs repairs, but in sound condition and not dangerous to live in)Good (No repair needed, but not pristine/wouldn’t pass for brand new)Excellent (almost pristine, would pass for brand new)
Life – Most people don’t think about life insurance until it’s too late!

Most people won’t need a medical exam and a $250k term life policy only costs $10 - $30 per month
YesNo
YesNo
YesNoNOT APPLICABLE
YesNoNOT APPLICABLEI HAVE NO LIFE INSURANCE
YesNo
Excellent - no chronic health conditions, no prescription meds, healthy BMI and weightGood - minimal well-managed health conditions, might take a couple prescription meds, slightly elevated weight and BMIAverage - May have a few health conditions that are under control, might take a few prescription meds, higher than average BMI and weight, but not extremely obesePoor - Struggling with multiple serious health conditions, might take many prescription meds, extremely higher than average weight and BMII prefer not to answer
YesNoI prefer not to answer
Excellent - no chronic health conditions, no prescription meds, healthy BMI and weightGood - minimal well-managed health conditions, might take a couple prescription meds, slightly elevated weight and BMIAverage - May have a few health conditions that are under control, might take a few prescription meds, higher than average BMI and weight, but not extremely obesePoor - Struggling with multiple serious health conditions, might take many prescription meds, extremely higher than average weight and BMII prefer not to answerNOT APPLICABLE
YesNoI prefer not to answerNOT APPLICABLE
Children's Grow Up Plans are one of the best things you can do to protect your child or grandchild’s future. 😊
- WHOLE life, not TERM – lasts their entire life and builds cash value.
- Doubles at age 18 at NO EXTRA COST (a $50k policy becomes a $100k).
- Rate is locked in for your child’s entire life.
- No medical exam of your child
- Cost between $8 - $40 per month depending on age/coverage.
YesNo
Click the "Add Row" button for each additional child you wish quoted*
Other Types of Insurance you should know about, especially if you have a lot to protect.
Umbrella – highly advised for home owners or anyone with a lot of assets to lose like retirement or college savings.Earthquake/Landslide – Homeowner/Renter insurance doesn’t cover this. Earthquakes aren’t common, but when they occur, the damage is devastating. We’re overdue for a major earthquake, so you’d be wise to consider adding this layer of protection.Flood – Home/Renter doesn’t cover damage from natural flooding, and these events are becoming more common every year!Commercial/Business – If you own your business or do a side hustle, we can insure you!I've read the above descriptions, and have no further interest in these types of insurance.
Should be Empty:

Information about your primary residence