UHL/UFFL Premium Quoting
Whole Life:
GIWL
-
EIWL
-
EI Deluxe
-
EI Premier
-
Provider WL
-
All Whole Life
--
Accidental Death
Term:
Simple Term 20
-
Simple Term 20 DLX
-
Simple Term 20 ROP
-
Simple Term 30
-
All Term
** FOR AGENT USE ONLY - NOT TO BE SHOWN TO OR PROVIDED TO CLIENTS **
** A quote is not a guarantee that any coverage will be issued. **
State
*
Select a state....
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Washington (WA)
Wisconsin (WI)
West Virginia (WV)
Wyoming (WY)
Express Issue Premier
Age
(age at
LAST
birthday)
Birth Date
*
(mm/dd/yyyy)
Sex
*
Nicotine Use
*
Payment
*
M
F
Y
N
Monthly EFT
Direct Monthly
Quarterly
Semi-Annual
Annual
Choose Face
OR
Premium
(not both)
*
Express Issue Premier
Case 1
Case 2
Case 3
Req. Face Amount
-None-
5,000
6,000
7,000
8,000
9,000
10,000
11,000
12,000
13,000
14,000
15,000
16,000
17,000
18,000
19,000
20,000
21,000
22,000
23,000
24,000
25,000
26,000
27,000
28,000
29,000
30,000
31,000
32,000
33,000
34,000
35,000
36,000
37,000
38,000
39,000
40,000
41,000
42,000
43,000
44,000
45,000
46,000
47,000
48,000
49,000
50,000
51,000
52,000
53,000
54,000
55,000
56,000
57,000
58,000
59,000
60,000
61,000
62,000
63,000
64,000
65,000
66,000
67,000
68,000
69,000
70,000
71,000
72,000
73,000
74,000
75,000
76,000
77,000
78,000
79,000
80,000
81,000
82,000
83,000
84,000
85,000
86,000
87,000
88,000
89,000
90,000
91,000
92,000
93,000
94,000
95,000
96,000
97,000
98,000
99,000
100,000
-None-
5,000
6,000
7,000
8,000
9,000
10,000
11,000
12,000
13,000
14,000
15,000
16,000
17,000
18,000
19,000
20,000
21,000
22,000
23,000
24,000
25,000
26,000
27,000
28,000
29,000
30,000
31,000
32,000
33,000
34,000
35,000
36,000
37,000
38,000
39,000
40,000
41,000
42,000
43,000
44,000
45,000
46,000
47,000
48,000
49,000
50,000
51,000
52,000
53,000
54,000
55,000
56,000
57,000
58,000
59,000
60,000
61,000
62,000
63,000
64,000
65,000
66,000
67,000
68,000
69,000
70,000
71,000
72,000
73,000
74,000
75,000
76,000
77,000
78,000
79,000
80,000
81,000
82,000
83,000
84,000
85,000
86,000
87,000
88,000
89,000
90,000
91,000
92,000
93,000
94,000
95,000
96,000
97,000
98,000
99,000
100,000
-None-
5,000
6,000
7,000
8,000
9,000
10,000
11,000
12,000
13,000
14,000
15,000
16,000
17,000
18,000
19,000
20,000
21,000
22,000
23,000
24,000
25,000
26,000
27,000
28,000
29,000
30,000
31,000
32,000
33,000
34,000
35,000
36,000
37,000
38,000
39,000
40,000
41,000
42,000
43,000
44,000
45,000
46,000
47,000
48,000
49,000
50,000
51,000
52,000
53,000
54,000
55,000
56,000
57,000
58,000
59,000
60,000
61,000
62,000
63,000
64,000
65,000
66,000
67,000
68,000
69,000
70,000
71,000
72,000
73,000
74,000
75,000
76,000
77,000
78,000
79,000
80,000
81,000
82,000
83,000
84,000
85,000
86,000
87,000
88,000
89,000
90,000
91,000
92,000
93,000
94,000
95,000
96,000
97,000
98,000
99,000
100,000
Req. Premium
Child Rider
-None-
5,000
10,000
15,000
20,000
-None-
5,000
10,000
15,000
20,000
-None-
5,000
10,000
15,000
20,000
Accidental Death
-None-
10,000
11,000
12,000
13,000
14,000
15,000
16,000
17,000
18,000
19,000
20,000
21,000
22,000
23,000
24,000
25,000
26,000
27,000
28,000
29,000
30,000
31,000
32,000
33,000
34,000
35,000
36,000
37,000
38,000
39,000
40,000
41,000
42,000
43,000
44,000
45,000
46,000
47,000
48,000
49,000
50,000
51,000
52,000
53,000
54,000
55,000
56,000
57,000
58,000
59,000
60,000
61,000
62,000
63,000
64,000
65,000
66,000
67,000
68,000
69,000
70,000
71,000
72,000
73,000
74,000
75,000
76,000
77,000
78,000
79,000
80,000
81,000
82,000
83,000
84,000
85,000
86,000
87,000
88,000
89,000
90,000
91,000
92,000
93,000
94,000
95,000
96,000
97,000
98,000
99,000
100,000
-None-
10,000
11,000
12,000
13,000
14,000
15,000
16,000
17,000
18,000
19,000
20,000
21,000
22,000
23,000
24,000
25,000
26,000
27,000
28,000
29,000
30,000
31,000
32,000
33,000
34,000
35,000
36,000
37,000
38,000
39,000
40,000
41,000
42,000
43,000
44,000
45,000
46,000
47,000
48,000
49,000
50,000
51,000
52,000
53,000
54,000
55,000
56,000
57,000
58,000
59,000
60,000
61,000
62,000
63,000
64,000
65,000
66,000
67,000
68,000
69,000
70,000
71,000
72,000
73,000
74,000
75,000
76,000
77,000
78,000
79,000
80,000
81,000
82,000
83,000
84,000
85,000
86,000
87,000
88,000
89,000
90,000
91,000
92,000
93,000
94,000
95,000
96,000
97,000
98,000
99,000
100,000
-None-
10,000
11,000
12,000
13,000
14,000
15,000
16,000
17,000
18,000
19,000
20,000
21,000
22,000
23,000
24,000
25,000
26,000
27,000
28,000
29,000
30,000
31,000
32,000
33,000
34,000
35,000
36,000
37,000
38,000
39,000
40,000
41,000
42,000
43,000
44,000
45,000
46,000
47,000
48,000
49,000
50,000
51,000
52,000
53,000
54,000
55,000
56,000
57,000
58,000
59,000
60,000
61,000
62,000
63,000
64,000
65,000
66,000
67,000
68,000
69,000
70,000
71,000
72,000
73,000
74,000
75,000
76,000
77,000
78,000
79,000
80,000
81,000
82,000
83,000
84,000
85,000
86,000
87,000
88,000
89,000
90,000
91,000
92,000
93,000
94,000
95,000
96,000
97,000
98,000
99,000
100,000
Quote Results
Face Amount =
Premium =
Insurance Age =
(
*
= required information)
