Term Life Insurance & Term Life Insurance Quotes
Disability Insurance

   888.587.8511
disability insurance you can afford, and we're not pushy!		  

  Disability Insurance And Disability Insurance Quotes
 
 
 


Disability Insurance Quotes From Term Life America
 


 

Request a Quote
It's easy to get an individual quote for Disability Income Insurance From Term Life America.
 

Attention Please !!!
Please supply the information below-

 However, no quotes will be issued on your request until we hear from you by phone to discuss your particular underwriting criteria, benefits and pricing.

Details regarding medical conditions and occupation are vital in providing you with an accurate quote at the lowest possible premium rate.  This is especially important for physicians and attorneys. 

We have found that this is the most expedient way to give you an accurate quote as we offer many companies and are committed to finding you the best possible price. 

We can be reached at 888-587-8511 Monday through Friday 9 a.m. to 5 p.m. ET
 
Thank you-

 
 For Employer Group Quotes Go Here>

Please Note: Disability Insurance WILL NOT cover an existing disability or a pregnancy-related disability. Disability Insurance products are offered in all states, except: AK, HI, & WY.

 

   First Name
   Last Name
   Street
   City
   State
   Zip Code
   Daytime Phone   ext
   Evening Phone   ext
   Best time to call
   E-mail

Personal Information
  Date of Birth      Year -ex. 1961-     
  Gender   
  Have you used nicotine products or nicotine substitutes at any time
in the last 12 months? 
  
  Do you take any medications of any kind?      
 
If "YES", furnish "complete details" to include ,
names of medication/medications, related condition/conditions, dates of occurrence, and outcome of prognosis.
 
 
  Other than what was referred to above, are there any other medical condition, past or present? Include physician visits, date and reason.

 
If "YES",  furnish "complete details" to include , condition/conditions, dates of
occurrence, and outcome of prognosis.

   Employment Information
    Are you self employed? 
  

      If "YES", are you? 

    Annual income from salaries -W2 or 1099-, -ex. 5000-  $
    Are you a City, State or Federal employee?           

       If "YES", how many years?  
 
    Occupation?
  Physicians, provide your specialty 
 
    Describe your duties at work
 

 Duty

 Description

% of Time
     

1
 



 

 

2
 



 

 

3
 



 



 
 
    Office location ?
   
    If applicable, what percentage of time do you work at home? 

 
Disability Coverage Details
  Do you currently have any existing disability income coverage?
 
If "YES",

  Type of coverage

 
  Benefit amount per month?  -ex. 4000)-   $
 
   Benefit Period    -ex.18 months-                 

  Are you replacing or adding  to your existing coverage?

                                                                                  
 
  Desired amount of coverage  -ex. 4000-   $ per month

 important note: "industry wide standard" the maximum amount of benefit
available is approximately 67%,

benefits are generally not taxable - because premiums are commonly paid
with after taxed dollars.
 
  Benefits to begin  after disability
 
  Benefits payment period 

 

 

Lewis Fink is licensed as insurance agents offering these benefits in the following states: Alabama - AL, Arkansas - AR, California - CA, Colorado - CO, Connecticut - CT, Delaware - DE, District of Columbia - DC, Florida - FL, Georgia - GA, Idaho - ID, Illinois - IL, Indiana - IN, Iowa - IA, Kansas - KS, Kentucky - KY, Louisiana - LA, Maine - ME, Maryland - MD, Massachusetts - MA, Michigan - MI, Mississippi - MS, Missouri - MO, Montana - MT, Nebraska - NE, New Mexico - NM, New Jersey - NJ, New York - NY, North Carolina - NC, North Dakota - ND, Ohio - OH, Oklahoma - OK, Pennsylvania - PA, Rhode Island - RI, South Carolina - SC, South Dakota - SD, Tennessee - TN, Texas - TX, Utah - UT, Vermont - VT, Virginia - VA, and Wisconsin - WI.
                         
Not all insurance products from all insurance companies are available in all states.
Note:  We do not provide legal or tax advice. The general information presented on various tax aspects contained in this site are not intended to be relied upon as tax advice. Individuals should seek the advice of a qualified tax professional regarding the taxation of these benefits as they apply to your particular situation.  These benefits are offered in all states except: AK, HI, & WY. License #'s: CA: OC38446 MT: 29724 F00-0283-LC 

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