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For Individuals
Solutions For Individuals
Qualifying Worksheet
Applications
For Advisors
Solutions For Advisors
Qualifying Worksheet
Applications
News
FAQ's
Structured Products Group
Contact
Qualifying Worksheet
For Advisors
Solutions For Advisors
Qualifying Worksheet
Applications
Please fill out
and submit the form below and we will contact you within one business day.
Face Amount
*
Reason for selling policy
*
Premium payment is too high
Policy under performance
A Key Person policy is no longer needed
Bankruptcy (personal or Corporate)
A Term policy is about to lapse or the conversion option is about to expire
Death or Divorce of Beneficiary
Changes in Estate/Tax Planning
Considering a 1035 Exchange
Applying for Medicaid (or similar program)
Other
Client Age & Sex
*
Male age 74 or less/Female age 77 or less
Male age 75-78/Female age 78-81
Male age 79-83/Female age 82-86
Male age 84+/Female age 87+
Medical Condition
*
Healthy
Has minor health problems
Health has changed considerably since policy issue
Client has developed serious medical issues
Policy Type
*
Whole Life or Survivorship Whole Life
Term Life (must be convertible)
Universal Life or Variable Life
Survivorship Universal Life or Variable Survivorship Life
Joint Survivorship with one deceased
Cash Value as a Face Amount
*
31% or greater
21% - 30%
16% - 20%
11% - 15%
6% - 10%
0% - 5%
Current Premium as a Percentage of death Benefit
*
4.0%+
3.0% - 3.9%
2.0% - 2.9%
1.0% - 1.9%
Outstanding Loan as a percentage of Death Benefit
*
31%
21% - 30%
11% - 20%
0% - 10%
Name
*
Name
First Name
Last Name
Email
*
Phone
*
Comments
Candidate's Name
Thank you!