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Diabetes Life Insurance Quote Request

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    $350,000
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    • Less Than $25,000
    • Other Amount
    • $25,000
    • $50,000
    • $75,000
    • $100,000
    • $125,000
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    • $175,000
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    • $3,000,000
    • $3,500,000
    • $4,000,000
    • $4,500,000
    • $5,000,000
    • $5,500,000
    • $6,000,000
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    • Term Life Insurance
    • ROP-Return of Premium Term Life
    • Universal Life Insurance
    • Whole Life Insurance
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    • Not Sure Yet
    • 5 Year Term
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    • Greater Than 30 if Available
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    • 4'-11"
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    • 7'-0"
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  • 8
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  • 9
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    • Never
    • Cigarette Smoker
    • Quit Smoking
    • Cigar-Celebratory Cigar
    • Cigar-Occasional
    • Cigar-Daily
    • Chewing Tobacco
    • Marijuana
    • Other Tobacco or Nicotine Products
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  • 10
    Did you know that most companies will consider you to be a smoker for 12-24 months after you quit...It is also important to note that the non-smoker rate classes will vary by company and time since you quit.
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  • 13
    Don't worry if you do not have exact spelling. It's most important from underwriting standpoint to know why you are taking something.
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    • I Don't Know
    • Less Than 6
    • 6.1 - 6.5
    • 6.6 - 7.0
    • 7.1 - 7.5
    • 7.6 - 8.0
    • 8.1 - 8.5
    • 8.6 - 9.0
    • 9.1 - 9.5
    • 9.6 - 10.0
    • Greater Than 10
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