fidelitylifeinsurance.quinstreet.com
Open in
urlscan Pro
70.42.22.157
Public Scan
URL:
https://fidelitylifeinsurance.quinstreet.com/
Submission: On July 10 via api from US — Scanned from DE
Submission: On July 10 via api from US — Scanned from DE
Form analysis
1 forms found in the DOMName: landingForm — result.html
<form action="result.html" autocomplete="off" class="form" id="landingForm" name="landingForm">
<h2 class="form__title form__title--desktop">It takes just <strong>2 minutes</strong><br>to request your quote</h2>
<h2 class="form__title form__title--mobile">Request your FREE quote in just 2 minutes</h2>
<div class="form-group-container flex">
<div class="input-validation-container">
<div class="input-container firstname-container"><label id="FirstName-label">First Name</label> <input id="FirstName" name="FirstName" autocomplete="off" class="alphaOnly textInput validateElement"
data-wt-auto_flowname-value="fidelitylifeinsurance" data-wt-auto_form_element_value-value="entered" data-wt-auto_position-value="firstname" data-wtevent="change" data-wtlabels="auto_position,auto_form_element_value,auto_flowname"
maxlength="40" minlength="2" pattern="[a-zA-Z\s]{2,40}" placeholder="" required=""></div>
<div class="validation-msgs"><span class="hide" data-rule="valueMissing">This field is required.</span> <span class="hide" data-rule="patternMismatch">Please enter a valid first name.</span></div>
</div>
<div class="input-validation-container">
<div class="input-container lastname-container"><label id="LastName-label">Last Name</label> <input id="LastName" name="LastName" autocomplete="off" class="alphaOnly textInput validateElement" data-wt-auto_flowname-value="fidelitylifeinsurance"
data-wt-auto_form_element_value-value="entered" data-wt-auto_position-value="lastname" data-wtevent="change" data-wtlabels="auto_position,auto_form_element_value,auto_flowname" maxlength="40" minlength="2" pattern="[a-zA-Z\s]{2,40}"
placeholder="" required=""></div>
<div class="validation-msgs"><span class="hide" data-rule="valueMissing">This field is required.</span> <span class="hide" data-rule="patternMismatch">Please enter a valid last name.</span></div>
</div>
<div class="input-validation-container">
<div class="input-container gender-container"><label id="Gender-label">Gender</label> <span class="selectDropImage" id="GenderArrow"></span> <select class="validateElement selectbtn" data-wt-auto_flowname-value="fidelitylifeinsurance"
data-wt-auto_form_element_value-value="auto" data-wt-auto_position-value="gender" data-wtevent="change" data-wtlabels="auto_position,auto_form_element_value,auto_flowname" id="Gender" name="Gender" required="">
<option value="Male">Male</option>
<option value="Female">Female</option>
</select></div>
<div class="validation-msgs"><span class="hide" data-rule="valueMissing">This field is required.</span> <span class="hide" data-rule="valueMissing">This field is required.</span></div>
</div>
<div class="input-validation-container">
<div class="input-container postalcode-container"><label id="PostalCode-label">Zip Code</label> <input id="PostalCode" name="PostalCode" autocomplete="off" class="zipInput numericOnly textInput validateElement"
data-wt-auto_flowname-value="fidelitylifeinsurance" data-wt-auto_form_element_value-value="auto" data-wt-auto_position-value="zip" data-wtevent="change" data-wtlabels="auto_position,auto_form_element_value,auto_flowname" maxlength="5"
minlength="5" pattern="[0-9]{5,}" placeholder="" required="" type="tel"></div>
<div class="validation-msgs"><span class="hide" data-rule="valueMissing">This field is required.</span> <span class="hide" data-rule="patternMismatch">Please enter a valid zipcode.</span> <span class="hide" data-rule="invalid">Please enter a
valid US zip code.</span></div>
</div>
<div class="input-validation-container input-validation-container__full">
<div class="flex BirthDate--flex">
<div class="input-validation-container">
<div class="input-container birthmonth-container"><label id="BirthMonth-label">Date of Birth</label> <input id="BirthMonth" name="BirthMonth" autocomplete="off" class="zipInput birth_month numericOnly textInput"
data-wt-auto_flowname-value="fidelitylifeinsurance" data-wt-auto_form_element_value-value="auto" data-wt-auto_position-value="birthmonth" data-wtevent="change" data-wtlabels="auto_position,auto_form_element_value,auto_flowname"
maxlength="2" minlength="2" pattern="[0-9]{2}" placeholder="MM" type="tel"></div>
</div>
<div class="input-validation-container">
<div class="input-container birthday-container"><input id="BirthDay" name="BirthDay" autocomplete="off" class="zipInput birth_day numericOnly textInput" data-wt-auto_flowname-value="fidelitylifeinsurance"
data-wt-auto_form_element_value-value="auto" data-wt-auto_position-value="birthday" data-wtevent="change" data-wtlabels="auto_position,auto_form_element_value,auto_flowname" maxlength="2" minlength="2" pattern="[0-9]{2}"
placeholder="DD" type="tel"></div>
</div>
<div class="input-validation-container">
<div class="input-container birthyear-container"><input id="BirthYear" name="BirthYear" autocomplete="off" class="zipInput birth_year numericOnly textInput" data-wt-auto_flowname-value="fidelitylifeinsurance"
data-wt-auto_form_element_value-value="auto" data-wt-auto_position-value="birthyear" data-wtevent="change" data-wtlabels="auto_position,auto_form_element_value,auto_flowname" maxlength="4" minlength="2" pattern="[0-9]{4}"
placeholder="YYYY" type="tel"></div>
</div>
</div>
<div class="input-validation-container">
<div class="input-container birthdate-container"><label id="BirthDate-label">Date of Birth</label> <input id="BirthDate" name="BirthDate" autocomplete="off" class="zipInput numericOnly maskDate textInput validateElement"
data-wt-auto_flowname-value="fidelitylifeinsurance" data-wt-auto_form_element_value-value="entered" data-wt-auto_position-value="birthdate" data-wtevent="change" data-wtlabels="auto_position,auto_form_element_value,auto_flowname"
maxlength="10" minlength="2" pattern="^((0?[1-9]|1[012])[\- \/\.](0?[1-9]|[12][0-9]|3[01])[\- \/\.](19|20)?[0-9]{2})*$" placeholder="MM/DD/YYYY" required="" type="tel"></div>
<div class="validation-msgs"><span class="hide" data-rule="valueMissing">This field is required.</span> <span class="hide" data-rule="patternMismatch">Please enter valid date.</span> <span class="hide" data-rule="invalid">Please enter valid
age ( Age between 18 to 99 )</span></div>
</div>
</div>
<div class="input-validation-container input-validation-container__full">
<div class="input-container phonenumber-container"><label id="PhoneNumber-label">Phone Number</label> <input id="PhoneNumber" name="PhoneNumber" autocomplete="off" class="zipInput maskPhone textInput validateElement"
data-wt-auto_flowname-value="fidelitylifeinsurance" data-wt-auto_form_element_value-value="entered" data-wt-auto_position-value="phone" data-wtevent="change" data-wtlabels="auto_position,auto_form_element_value,auto_flowname" maxlength="13"
minlength="2" pattern="^[01]?[\- .]?(\([2-9]\d{2}\)|[2-9]\d{2})[\- .]?\d{3}[\- .]?\d{4}$" placeholder="" required="" type="tel"></div>
<div class="validation-msgs"><span class="hide" data-rule="valueMissing">This field is required.</span> <span class="hide" data-rule="patternMismatch">Please enter a valid phone number.</span></div>
</div>
<div class="input-validation-container input-validation-container__full">
<div class="input-container emailaddress-container"><label id="EmailAddress-label">Email Address</label> <input id="EmailAddress" name="EmailAddress" autocomplete="off" class="zipInput textInput validateElement"
data-wt-auto_flowname-value="fidelitylifeinsurance" data-wt-auto_form_element_value-value="entered" data-wt-auto_position-value="email" data-wtevent="change" data-wtlabels="auto_position,auto_form_element_value,auto_flowname" maxlength="40"
minlength="2" pattern="^([\w\-]+(?:\.[\w\-]+)*)@((?:[\w\-]+\.)*\w[\w\-]{0,66})\.([a-z]{2,6}(?:\.[a-z]{2})?)$" placeholder="" required="">
<ul class="autosuggest hide" id="autosuggest"></ul>
</div>
<div class="validation-msgs"><span class="hide" data-rule="valueMissing">This field is required.</span> <span class="hide" data-rule="patternMismatch">Please enter a valid email address.</span></div>
</div><span class="validation-msgs validation-msgs__api" id="api-error">Unable to process the request</span> <button class="btn btn-primary submitButton" type="button" data-wt-lifeinsurance_flowname-value="fidelitylifeinsurance"
data-wt-lifeinsurance_form_element_value-value="clicked" data-wt-lifeinsurance_position-value="submit_nextbutton" data-wtevent="click" data-wtlabels="lifeinsurance_position,lifeinsurance_form_element_value,lifeinsurance_flowname"><span
class="btn__text">Get My Free Quote ►</span> <span class="btn__spinner"></span></button>
<div class="form__certifications flex"><a target="_blank" class="form__certifications--icon form__certifications--icon-vrsn" rel="noopener"></a>
<a target="_blank" class="form__certifications--icon form__certifications--icon-mcafee" rel="noopener"></a>
<a target="_blank" href="https://www.bbb.org/chicago/business-reviews/insurance-life/fidelity-life-association-in-chicago-il-88013237" class="form__certifications--icon form__certifications--icon-bbb" rel="noopener"></a></div>
<div class="form__tcpa"><label class="disclosure"><input id="leadid_tcpa_disclosure" type="hidden"> By clicking get my quotes you agree to be called or to receive text messages on the number you provided including via automated dialers and
prerecorded messages by QuinStreet and up to four matched partners for marketing purposes including with offers for life insurance you also agree to our terms of use and privacy policy consent is not required in order to purchase goods or
services.</label> <input id="HomePhoneConsentLanguage" name="HomePhoneConsentLanguage" type="hidden"
value="By clicking get my quotes you agree to be called or to receive text messages on the number you provided including via automated dialers and prerecorded messages by QuinStreet and up to four matched partners for marketing purposes including with offers for life insurance you also agree to our terms of use and privacy policy consent is not required in order to purchase goods or services.">
</div>
</div><input id="leadid_token" name="leadid_token" type="hidden" value="98C3D009-C3EA-95C4-C637-91B8011FF62F"><input type="hidden" name="xxTrustedFormCertUrl" value="https://cert.trustedform.com/35bba958f40c40de93bd4fcbb4f95ad32d84d275"
id="xxTrustedFormCertUrl_0"><input type="hidden" name="xxTrustedFormToken" value="https://cert.trustedform.com/35bba958f40c40de93bd4fcbb4f95ad32d84d275" id="xxTrustedFormToken_0"><input type="hidden" name="xxTrustedFormPingUrl"
value="https://ping.trustedform.com/0.aFHbkFdbFP0fC2OYfit9aN3YfvowjBFRganUf_nK0Rmp63HesrUn_6vVsN0y2Yp6PwHtM8RE.1Zav1GB1boADQjAZUay6Pw.2cMjgKcy8qzMJNV0Pfp4rw" id="xxTrustedFormPingUrl_0">
</form>
Text Content
IT TAKES JUST 2 MINUTES TO REQUEST YOUR QUOTE REQUEST YOUR FREE QUOTE IN JUST 2 MINUTES First Name This field is required. Please enter a valid first name. Last Name This field is required. Please enter a valid last name. Gender MaleFemale This field is required. This field is required. Zip Code This field is required. Please enter a valid zipcode. Please enter a valid US zip code. Date of Birth Date of Birth This field is required. Please enter valid date. Please enter valid age ( Age between 18 to 99 ) Phone Number This field is required. Please enter a valid phone number. Email Address This field is required. Please enter a valid email address. Unable to process the request Get My Free Quote ► By clicking get my quotes you agree to be called or to receive text messages on the number you provided including via automated dialers and prerecorded messages by QuinStreet and up to four matched partners for marketing purposes including with offers for life insurance you also agree to our terms of use and privacy policy consent is not required in order to purchase goods or services. Get $250,000 of Term Life Insurance Coverage for as low as $15 a month! LIFE INSURANCE THAT'S EASY, FAST AND AFFORDABLE. Get My Free Quote ► Request your FREE quote in just 2 minutes HELP PROTECT YOUR FAMILY WITH TERM LIFE INSURANCE Term Life Insurance is very popular since it is one of the simplest and most affordable life insurance products available. It can help cover financial responsiblities like mortgage and college costs, or supplement other coverage you may have through an employer. RAPIDECISION® LIFE FROM FIDELITY LIFE OFFERS YOU: Affordable LowMonthly Rates Choice ofTerm Lengths Options withNo Exam Fast Coverageon Approval WORKING WITH YOU, FOR LIFE® Requesting a free, no-obligation term life insurance quote through Fidelity Life is faster and easier than ever! Our patented process offers you the chance to get a high face amount of coverage FAST and our rates are among the best in the industry. Through Fidelity Life, you can get quality term life coverage for less. Save up to 70% on your policy compared to the same coverage through other carriers. You can get a personalized, free quote in just a few minutes. It's that easy to start helping protect your family's financial future! LOW FIXED MONTHLY RATES BY COVERAGE AMOUNT $100,000$250,000$500,000Age 30$12$15$21Age 40$13$18$27Age 50$20$32$53 Rates shown are 10-year term best available class for females; male rates will be higher. Rates have been rounded to the nearest dollar. WORKING WITH YOU, FOR LIFE® For over 100 years, Fidelity Life remained focused on providing people with peace of mind. We believe in making life insurance simpler to understand, easier to get, and more affordable to buy. If you are not completely satisfied with your term life insurance policy, you may cancel at any time within the 30-day money back period and receive a full refund. Quotes are provided for informational purposes and do not constitute an offer of insurance. Fidelity Life Association is licensed in all states and the District of Columbia, except NY and WY. A two-year suicide exclusion and contestability period may apply (one year in some states). All applications are subject to underwriting approval. NAIC number is 63290. Like most insurance policies, Fidelity Life's policies contain exclusions, limitations, reductions of benefits and terms for keeping them in force. For complete costs and details, contact your Fidelity Life Representative. Invitations for application for life insurance on Quotes.FidelityLife.com are made through designated agent, Michael Bowcock, only where licensed and appointed. License numbers are available upon request and are automatically provided where required by law. Michael Bowcock is a licensed life insurance agent in all 50 states, including the District of Columbia, and his resident state of Illinois. Michael Bowcock's Illinois license number is 11736943; in California, 0G99555; in Louisiana, 589562; in Minnesota, 40333060; in Utah, 445133; in Massachusetts, 1884080; and in Texas, 1617308. Efinancial, LLC's California license number (d/b/a Efinancial Term Insurance Services) is 0F37537; in Louisiana, 323680 and in Utah, 104501. Rates and time taken to purchase a policy vary by product. © 2024 QuinStreet, Inc., a Fidelity Life partner. All Rights Reserved. * Privacy Notice * Terms of Use * California - Do Not Sell My Info 950 Tower Lane, 12th Floor, Foster City, CA 94404