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Rating Criteria
Type of Proposed Insured:
Individual
Joint: Married Couple
Business: Key Man
Business: Partner Cross Purchase
Type of life insurance:
Term Life
Whole Life
Universal Life
Variable Universal Life
Require Consultation
Duration
10 years
20 years
30 years
permanent
cash value
Coverage Amount
100,000
150,000
200,000
250,000
300,000
350,000
400,000
450,000
500,000
550,000
600,000
650,000
700,000
750,000
800,000
850,000
900,000
950,000
1,000,000
1,100,000
1,200,000
1,300,000
1,400,000
1,500,000
1,600,000
1,700,000
1,800,000
1,900,000
2,000,000
2,250,000
2,500,000
2,750,000
3,000,000
3,250,000
3,500,000
3,750,000
4,000,000
4,250,000
4,500,000
4,750,000
5,000,000
5,250,000
5,500,000
5,750,000
6,000,000
6,250,000
6,500,000
6,750,000
7,000,000
7,250,000
7,500,000
7,750,000
8,000,000
8,250,000
8,500,000
8,750,000
9,000,000
9,250,000
9,500,000
9,750,000
10,000,000
Tobacco/Nicotine Use
Never Used
Current User
Last use over 5 years
Last use over 3 years
Last use over 2 years
Last use over 1 year
Quit within the last year
Health Status
Excellent
Average
Medicated
Poor
Gender
Male
Female
Married/Couple
Other
Status
Single
Married
Engaged
Divorced
Children?
Yes
No