Final Expense (California only)

 Are you prepared for Final Expenses?

According to the US Senate Committee on aging, the average cost of a funeral is approximately $8,495

This total may include such expenses as:  

To receive a quick quote please answers a few question:

Date of Birth

Gender

Height ft in  Weight lbs

Tobacco/Nicotine Use

First Name

Last Name

Day Phone Evening Phone

E-mail

To receive a quick quote please answers a few question:

Section I

A.    Do you currently receive kidney dialysis or require oxygen use or have you been diagnosed as having a terminal illness? (Terminal illness is defined as any illness diagnosed that would reasonably be expected to cause death within twenty-four (24) months.)   

B.     Do you require assistance to eat, bathe, dress or take your own medication or are you currently confined to a hospital, nursing home, mental facility or Hospice or have you been hospitalized two or more times in the past twelve months? 

C.    Has the proposed insured ever been diagnosed as having or been treated for AIDS (Acquired Immune Deficiency Syndrome) or ARC (AIDS Related Complex) by a member of the medical profession, or tested positive for HIV antibodies as part of a test conducted for the purpose of obtaining insurance? 

Section II

A.    In the pasts years, have you been diagnosed or treated for, or are you currently under treatment for Alzheimer’s Disease, any form of Cancer (other than Basal Cell skin cancer), Heart or Circulatory Disorder (except controlled hypertension), Sickle Cell Anemia, Stroke, Kidney Disease (including dialysis), Liver Disease, any Lung Disease (except mild asthma not requiring daily medication), ALS (Lou Gehrig’s Disease) or other neurological disorders (except for controlled seizure disorder with no seizures in the past 2 years), or surgery for any Heart or Circulatory Disorder (except varicose veins) or transplant of any organ? 

B.   Are you currently disabled or been disabled in the last six months, or at any time during the last six months been unable to mentally or physically complete 30 hours per week of active employment or have you been declined or postponed tot Life or Health Insurance in the past two years? 

C.   In the past 10 years have you been convicted of a felony; or in the pasts years have you been treated for, been advised to have treatment hr or excessively used alcohol or any drug abuse? 

Section III

A.   In the past 5 years, have you been diagnosed or treated for, or are you currently under treatment for Schizophrenia, Bipolar Disorder, Diabetes requiring insulin treatment, SLE (Systemic Lupus Erythematosus)? 

B.   In the past 5 years, have you been convicted of operating a vehicle while intoxicated, or had your drivers license suspended or revoked? 

C.   Do you now participate in, or do you have plans to participate in any hazardous is sports or aviation?