Stay Covered - Financial Services

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Let's start with your name

Title

Gender

Male

Female

First Name

Last Name

Please note: Non-smokers must be aged 50-80 years old when taking out the policy. Smokers must be aged 50-75 years old when taking out the policy.

Smoker status

Medical Questions

You have the choice of whether to:

Proceed without answering the questions for a policy with a standard payment/payout and a two-year qualifying period; or

Complete the medical questions to see if you qualify for a discounted payment/payout and a six-month qualifying period.

Do you wish to answer the medical questions?

Yes

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Step 1 of

Let's start with your name

Title

Gender

First Name

Last Name

Your details

Date of birth

Phone Number

Email Address

Postcode

Smoker status

Medical Questions

Do you wish to answer the medical questions?