PLEASE PROVIDE ME WITH A NO OBLIGATION QUOTE FOR INCOME PROTECTION INSURANCE

CONTACT AND PERSONAL DETAILS

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 FIRST NAME  SURNAME
 E-MAIL ADDRESS  SEX
 DATE OF BIRTH      yyyy  DO YOU SMOKE?
EXACT OCCUPATION - required for quotation purposes - Please be as precise as possible.

 

WHAT IS YOUR ANNUAL BUSINESS MILEAGE?   MILES

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PLEASE SELECT THE MOST APPROPRIATE STATEMENT/S FOR YOUR OCCUPATION FROM THE LIST BELOW.

THE FOLLOWING CATEGORIES ARE GUIDELINES ONLY.  PROVIDERS MAY ASSIGN A DIFFERENT OCCUPATION CLASS WHICH MAY AFFECT THE ACTUAL PREMIUM (UP OR DOWN),  AS MAY THE UNDERWRITING PROCESS WHICH IS DETERMINED BY YOUR CURRENT STATE OF HEALTH.
MANUAL WORK IN A POTENTIALLY HAZARDOUS ENVIRONMENT

MAINLY MANUAL WORK, BUT NOT IN A HAZARDOUS OR HIGH-RISK AREA
PARTLY ADMINISTRATIVE WITH SOME MANUAL WORK - e.g. - MANUAL WORKERS'
SUPERVISOR; ADMINISTRATIVE JOB IN AN INDUSTRIAL ENVIRONMENT
ADMINISTRATIVE ONLY
HOUSE PERSON OR UNSALARIED

INCOME PROTECTION POLICY CHOICES

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WHAT IS YOUR GROSS ANNUAL SALARY/INCOME? £
POLICY TERM - HOW MANY YEARS COVER DO YOU REQUIRE?     YEARS
WHAT AMOUNT OF MONTHLY BENEFIT DO YOU REQUIRE £ PER MONTH
WOULD YOU LIKE THE BENEFIT TO INCREASE ANNUALLY?  
DEFERRED  PERIOD  

Deferred is insurance jargon for waiting time.  The Insurance Company needs to know how long you want to wait before paying you benefit.  In your job if you have time off due to illness or accident, your employer might pay your full salary for a time which could be 4, 13 or even 26 weeks.

IF YOU WISH TO PROVIDE US WITH YOUR PHONE NUMBER OR ADDRESS THEN PLEASE DO SO
 USING THE BOX BELOW WHICH CAN ALSO BE USED FOR ANY QUESTIONS YOU MAY HAVE.

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