Take the test to see if you are eligible.

Many people think that due to heart attack, diabetes or cancer history that they are uninsurable
or.....uninsurable at rates that they could possibly afford............This is false.

Are you uninsurable?........ It's very unlikely!
________________________________________________________________________________
Answer "Yes" or "No" to the following 8 questions, and then click "Do I Qualify?"
for instant test results.
If you want more information, complete the contact information at the bottom of the screen, and click
"Please send me more information" (which sends us the test results by email). Otherwise, print the page,
do the test at your leisure, and contact us to find out more.

If the answer to Questions 1, 2, and 3 are all "NO", you will qualify for the premium death benefit plan:
If the answer to Questions 1, 2, or 3 is/are "YES", you will qualify for the standard death benefit plan..

Questions
Yes No

1. Are you currently bedridden, hospitalized, confined to a nursing facility, or ever been diagnosed as
    having a terminal illness?

2. Are you currently being treated for internal cancer, stroke or kidney failure?

3. Have you ever been diagnosed or treated for Acquired Immune Deficiency Syndrome (AIDS), AIDS
    Related Complex (ARC) or immune deficiency related disorders or tested positive for antibodies to
    the    HIV virus?

If the answers to Questions 1, 2, and 3 are all "NO", AND the answers to questions 4 through 8
are all "NO",   you will qualify for full coverage:

Questions
Yes No

4. Are you currently confined to a wheel chair, or during the past year, had any type of amputation
   caused by disease?

5. Within the past year, have you had or been treated for kidney failure, Alzheimer's disease,
    cirrhosis   of the liver, diabetes requiring treatment with insulin or used oxygen equipment to assist
    in breathing?

6. Within the past three (3) years, have you had or been treated for a heart attack, congestive heart
    failure, stroke or been advised to have surgery for a heart condition or for any blood vessel disease
    but not had such surgery?

7. Within the past three (3) years, have you received treatment for alcohol or drug abuse or been
    advised by physician to reduce alcohol consumption?

8. Within the past ten. (10) years, have you been diagnosed as having or received treatment for
    internal cancer?

Please send me more information by email mail fax
Please contact me by telephone

Name

Email

Address

I live in the state of

City

Postal Code

Phone                    ext.    Area Code

Fax

                                          (Thank you for visiting)

At grouphealthplans.com your toll free call is always welcome ! 1 888 456 1858 / 504 456 1858

After you take the test you can click here to contact us by email... Guaranteed Issue Life Insurance
or click here to get applications sent to you to apply for insurance... Send me the applications please

Return to Guaranteed Issue Life Main Page

Questions	Yes	No
1. Are you currently bedridden, hospitalized, confined to a nursing facility, or ever been diagnosed as having a terminal illness?
2. Are you currently being treated for internal cancer, stroke or kidney failure?
3. Have you ever been diagnosed or treated for Acquired Immune Deficiency Syndrome (AIDS), AIDS Related Complex (ARC) or immune deficiency related disorders or tested positive for antibodies to the HIV virus?

Questions	Yes	No
4. Are you currently confined to a wheel chair, or during the past year, had any type of amputation caused by disease?
5. Within the past year, have you had or been treated for kidney failure, Alzheimer's disease, cirrhosis of the liver, diabetes requiring treatment with insulin or used oxygen equipment to assist in breathing?
6. Within the past three (3) years, have you had or been treated for a heart attack, congestive heart failure, stroke or been advised to have surgery for a heart condition or for any blood vessel disease but not had such surgery?
7. Within the past three (3) years, have you received treatment for alcohol or drug abuse or been advised by physician to reduce alcohol consumption?
8. Within the past ten. (10) years, have you been diagnosed as having or received treatment for internal cancer?

Please send me more information by email mail fax Please contact me by telephone
Name
Email
Address
I live in the state of
City
Postal Code
Phone ext. Area Code
Fax