Individual Disability Quotes

Information Needed:

  • Name of Individual
  • Tobacco Use
  • Health Conditions/Medications
  • Date of Birth
  • Height & Weight
  • Yearly Income
  • Occupation
  • Duties (% of time spent in office/out of office/travel)
  • If owner of company-how long in business; # of employees
  • Years in current job
  • Government employee
  • W-2 employee
  • Any coverage in force
  • Any unearned income- (such as rental property income, money not earned)
  • State individual lives in
  • State application will be signed in
  • Who is paying for policy