Contact details
Email
Phone
Quote 1
Choose type of insurance
Single annually renewable life insurance
Single level term life insurance Joint level term life insurance
Single whole of life insurance
Joint 1st death whole of life insurance
Joint 2nd death whole of life insurance
Choose number of years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years 19 years 20 years 21 years 22 years 23 years 24 years 25 years
Level term life insurance only
Insurance amount (minimum equivalent to Euro 150,000)
Choose currency GBP USD EURO
Quote 2
Choose type of insurance
Single annually renewable life insurance - Cost increases with your age
Single level term life insurance Joint level term life insurance
Single whole of life insurance
Joint whole of life insurance
Choose number of years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years 19 years 20 years 21 years 22 years 23 years 24 years 25 years
Level term life
insurance only
Insurance amount (minimum equivalent to Euro 150,000)
Choose currency GBP USD EURO
First person
Select Male Female Sex
Full name
Occupation
Nationality
Date of birth
Resident in which country
Select Non Smoker Smoker Do you smoke ?
Second person
Select Male Female Sex
Full name
Occupation
Nationality
Date of birth
Resident in which country
Select Non Smoker Smoker Do you smoke ?
Specify Annually Monthly Do you want to pay for the insurance monthly or annually?
Insurance in excess of one million
Euros requires a reason and your annual income.
Health requirements
Must Select Yes No Can your doctor complete an English language questionnaire
Must Select Yes No Can you have a
minor medical examination and blood test for
HIV and Hepatitis B
Regulations
To comply with offshore regulations can you provide photocopies of your passport and a utility bill or bank/Visa statement showing your name and residential address. The copies must be confirmed
as true copies of originals by one of the following a solicitor, lawyer, notary or your embassy or consulate.
Must Select Yes No