Health Strategy Assessment





Thank you for your interest in purchasing important life insurance coverage. Your health and lifestyle play a large role in determining what your insurance will cost. When you make formal application for life insurance, the company may have a nurse collect a blood and urine sample and request your medical records.
 
This is an informal health profile that can be used with insurance companies to obtain an initial underwriting assessment, which can be done anonymously. This means that no official note or record is made of your health. But, once we secure an acceptable offer, we can use that informal underwriting decision to secure your coverage. 
 
Let's start with your basic contact information.





Your basic information



First name (full)

Preferred name

Last name

Preferred email address

Preferred phone number

Home zip code