www.fegliswap.com Open in urlscan Pro
192.124.249.109  Public Scan

Submitted URL: https://swapyourfegli.com/c/rebedu2o2qfh8oybyblh/1r48ywdlmnixa183qkyw/?c=qg7lfbvchhohgzq19011&l=10tvpxg10je17be4ig12&j=zd7...
Effective URL: https://www.fegliswap.com/fegliform.htm
Submission: On January 26 via manual from US — Scanned from DE

Form analysis 0 forms found in the DOM

Text Content

Where do you live?
Please
select...AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth
DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth
DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington D.C.West
VirginiaWisconsinWyoming
When were you born?

JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
12345678910111213141516171819202122232425262728293031
20052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938

Gender

 Male Female

How’s your health?
Major underwriting issues? Quick Quote here
Preferred Plus (Superior)Preferred (Excellent)Standard Plus (Above
Average)Standard (Average)
Table (optional)

NoneTable ATable BTable CTable DTable ETable FTable GTable HTable ITable JTable
KSelect ‘None’ unless
otherwise advised

Do you use tobacco?

 Yes - Cigarettes Yes - Other (cigars, chew, patch, etc.) No

What type of insurance do you need?
Typically, the cheapest coverage for clients. Fully underwritten Term or
Universal Life insurance policies require a FREE, no-obligation medical exam.
Coverage amounts between $25,000 and $50,000,000 are available.
 Life Insurance (paramedical exam)
 Return of Premium Term Life Insurance
 Living Benefits Life Insurance
 No Medical Exam Life Insurance
 Accelerated Underwriting
 Critical Illness Coverage

Select term
Move slider to select term length or select another option below it.

 Longest term available Best rate for each product Guaranteed Universal Life

Please select...All available UL productsTo age 90To age 95To age 100To age
105To age 121 (No Lapse U/L)To age 121 (Pay to 65)To age 121 (Pay to 100)To age
121 (20 Pay)To age 121 (10 Pay)To age 121 (Single Pay)
How much insurance?
Enter as many as four amounts from $25,000 to $50,000,000.



Carrier

 Any Let me select Top 7 carriers



Need any riders?

 Accidental Death Benefit Waiver of Premium Child – Units:
12345678910111213141516171819202122232425

Your name



Email address

Telephone

Agent name






Don’t know how much coverage you should have? Start Here
Basic quote with all prices • Terms of service agreement