Critical illness insurance quotation and cover

Critical Illness insurance quotation application form.

For a critical illness insurance quote use this critical illness insurance form. Information will be sent to an Independent Financial Advisor, who will review the critical illness insurance cover and send you the best affordable critical illness quote that meets your requirements. A cheap critical illness insurance quote may be a false economy if the policy does not protect you when you need it. Full information on the insurance benefits provided will be included.

If you wish to go back to our critical illness insurance information page

Your Name		Why we ask the questions
Address
e-mail		e-mail on insurance form
Tel. No	(daytime)	tel no on insurance form
Date of Birth		Critical illness insurance and age
Smoking		Critical illness insurance and smoking
Height		Critical illness insurance and height
Weight		Critical illness insurance and weight
Sum Assured £		Critical illness insurance sum insured
Death Cover Required?	(life cover)	Critical illness insurance life insurance
Type of benefit		Type of benefits and critical illness
Policy Length		Length of cover and critical illness insurance
Further demands and needs from your critical illness insurance policy	Please advise us of any medical conditions or further information you should disclose Please let us have details of any current critical illness cover or life cover you may have	Medical conditions, further information and demands and needs

Declaration I have completed the form to the best of my knowledge and belief. I have made a full disclosure of all material facts. I have read and understood the Important information below. I understand that there is no cover in force until confirmed. a satisfactory proposal form completed and accepted and payment of the premium made - either in full or an instalment plan set up acceptable to the critical illness insurance company.The declaration

We offer more than just critical illness insurance - this is our home page

Please note that having insurance does not protect you from all illnesses and injuries. Our accident sickness and unemployment or income protection insurance policies may protect your income in different circumstances.

If you complete the insurance form then an insurance quote will be provided and the IFA will be pleased to discuss your insurance questions about this form of insurance.

When taking out insurance please remember an insurance contract is 'uberrima fides'. For any insurance contract you must disclose all material facts to the insurance company. To an insurance company a material fact is one that could affect the insurance company underwriting the insurance policy in assessing the risk for insurance. For critical illness insurance examples of material facts the insurance company would consider are: pre-existing medical conditions, obesity, pre-disposition to certain illnesses. The list is not exhaustive and our advice as insurance brokers is to declare any fact that you think might be material for insurance purposes as if you fail to disclose a material fact for insurance purposes the insurance company could refuse to pay out on your insurance policy should you need to make an insurance claim.

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