Online Insurance Quotes Canada Life Insurance, Critical Illness Plan, and Disability plans Covrage type* Single Coverage Joint Coverage Hidden Client 1Name Client 1* First Last Gender* Male Female Smoker / Tobacco* Non Smoker Smoker Health Risk Level*ElitePreferredRegularSimplifiedGuaranteedBirthdate* MM slash DD slash YYYY Client 2Name Client 2* First Last Gender* Male Female Smoker / Tobacco* Non Smoker Smoker Underwriting Risk*ElitePreferredRegularSimplifiedGuaranteedBirthdate* MM slash DD slash YYYY HiddenSection Break Do you need Life Insurance? Life Insurance - Client 1* Yes No Life Insurance - client 2 Yes No Life Insurance Details - Client 1Policy TypeSelet a policy type and term1 Year Term10 Year Term15 Year Term20 Year Term25 Year Term30 Year Term35 Year Term40 Year TermLevel Term to 65Level Term to 70Level Term to 75Unique TermOptiTermTraditionall Term 100T100 20-PayUnique Term 100Whole Life / Life PayWhole Life / Pay to 65Whole Life / 25 PayWhole Life / 20 PayWhole Life / 15 PayWhole Life / Quick PayUnique Whole LifeLiving BenefitsSingule Person Funeral PlanPremium Frequency*AnnualSemi-AnnualQuarterlyMonthlyCoveragePlease enter a number from 10000 to 30000000.Min $10,000 - Max - $30,000,000 Life Insurance Details - Client 2Policy TypeSelet a policy type and term1 Year Term10 Year Term15 Year Term20 Year Term25 Year Term30 Year Term35 Year Term40 Year TermLevel Term to 65Level Term to 70Level Term to 75Unique TermOptiTermTraditionall Term 100T100 20-PayUnique Term 100Whole Life / Life PayWhole Life / Pay to 65Whole Life / 25 PayWhole Life / 20 PayWhole Life / 15 PayWhole Life / Quick PayUnique Whole LifeLiving BenefitsSingule Person Funeral PlanPremium Frequency*AnnualSemi-AnnualQuarterlyMonthlyCoverage AmountPlease enter a number from 100000 to 30000000.Min $10,000 - Max - $30,000,000 Coverage to ResearchFirst to dieLast to die - Premiums to the 1st DeathLast to die - Premiums to the 2nd DeathHiddenSection Break Do you need Critical Illness Insurance? Critical Illness - Client 1 Yes No Critical Illness - Client 2 Yes No HiddenSection Break Critical Illness - Client 1CI Coverage Amount - Client 1Please enter a number from 25000 to 2000000.Min $25,000 - Max - $2,000,000 Critical Illness - Client 2CI Coverage Amount - Client 2Please enter a number from 25000 to 2000000.Min $25,000 - Max - $2,000,000 HiddenSection Break Do you need Disability Insurance? Disability Insurance - Client 1 Yes No Disability Insurance - Client 2 Yes No HiddenSection Break Disability Insurance - Client 1Net Annual IncomePlease enter a number greater than or equal to 12000.Min $12,000Days without income 0 30 120 How long could you go without income if you had an accident or injury?Do you currently have Disability insurance Yes No Currnet Disability Insurance Monthly BenefitHow much money you will get per month from your current insurance in case of disability? Disability Insurance - Client 2Net Annual IncomePlease enter a number greater than or equal to 12000.Min $12,000Days without income 0 30 120 How long could you go without income if you had an accident or injury?Do you currently have Disability insurance Yes No Currnet Disability Insurance Monthly BenefitHow much money you will get per month from your current insurance in case of disability? HiddenContact InformationContact InformationName* First Last Email* PhoneResidence of Province/Territory*Residence ofAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonPhoneThis field is for validation purposes and should be left unchanged.
