Income Protection (Long Term Sickness Insurance)
Please complete the following to request a quotation or telephone
0800 970 0457
.
We will search the market and contact you with your quotations on the next working day.
Gender:
Male
Female
Your Name:
Date of Birth:
Smoker:
Yes
No
Address:
Email:
This is mandatory to enable a consultant to contact you.
Telephone (Day)
This is mandatory to enable a consultant to call you.
The following information will enable us to obtain quotations for you:
What is your occupation?
What is you annual gross income? £
What is the tax free monthly income you wish to insure
(max 50% of income)? £
What is your expected retirement age (55, 60, 65)?
How many weeks sick pay do you receive from your employer or, for self-employed people, how many weeks are you prepared to wait for benefits to be paid in the event of a claim?
Would you like the benefits (and premiums) to
increase each year to allow for inflation?
Yes, increasing
No, level cover.
Finally, are you:
Employed
Self-Employed