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Customer Details
Underwriting
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General Health

Work with to answer the following questions

General Questions for :

If you are comfortable with the underwriting for this product and undefined's health, you may pre-fill all questions below with “No” by clicking here.

High blood pressure

Diabetes

Any chronic liver, pancreatic, kidney, or lung disease

Diagnosed with asthma?

Diagnosed with a mood or mental health disorder?

Been treated for, cancer in the last 7 years?

Been treated for, a stroke, heart attack, aneurysm, heart or circulatory disease?

Treated for or diagnosed with lupus (SLE) or multiple sclerosis?

Have a disability that prevents you from working 30 hours a week, or receive disability benefits such as SSDI?

In the past 12 months, has any testing, treatment or procedure been recommended or scheduled but not yet completed, excluding routine testing?

Within the past 4 years: abused alcohol or drugs or been recommended to receive any treatment, counseling or discontinue use of alcohol or drugs?

Received an organ transplant or had an amputation due to disease?

Driving issues in the last 3 years:

  • Had an alcohol or drug related infraction
  • 2 or more vehicle accidents
  • 3 or more driving violations
  • Had license suspended or revoked

Criminal activity:
Been convicted of a misdemeanor or felony in the last 5 years, or on probation/parole in the past 6 months?

Didn’t Qualify

That’s no problem though as there are still other great coverage options that undefined is likely to qualify for