Income Protection Plan | Income Protection Quote | Self Employed Income Protection

1. Cover Details

What type of life insurance do you need?

× Level - The benefit amount will remain the same throughout the policy term. This policy is normally used to provide a lump sum for dependents, or to cover an interest only mortgage or loan.
Decreasing - The benefit amount will decrease throughout the policy term. Many people use this option to cover a capital and interest repayment mortgage or loan where the amount you owe goes down year-on-year.

Level Decreasing

How much life cover would you like?

× This amount should protect your financial commitments - typically a mortgage, loan or high credit card balance. Also consider your family and loved ones and how much you would like to provide.
You can select the following amounts of cover based on your age:

Up to age 40: £500,000
41-50: £300,000
51-60: £200,000
61-65: £100,000

£100k £150k £200k £250k £500k Other

Please enter an amount?

How long do you want to be covered for?

× Most life insurance policies do not cover you indefinitely. When selecting the length of cover you may want to consider when your mortgage will be paid off, or when your dependents will be self-sufficient.

10 Years 15 Years 20 Years 25 Years 30 Years Other

Please choose an option?

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2. Personal Details

Who is the cover for?

× You can choose to cover just yourself or add another person. Please note, that if you add another person the policy will only pay out once on the first death.

Myself Myself and another Person

Title:

Mr Mrs Ms Miss

Full name:

Date of birth (dd/mm/yyyy):

× We need your date of birth in order to provide you with an accurate quote. You must be over 18 and under 65.

/ /

Have you used tobacco or nicotine products in the last 12 months?

× Smoking includes all tobacco and nicotine products such as cigars, chewing tobacco, pipes and nicotine replacement products such as e-cigarettes or "vapers".

Yes No

Joint Policyholder Details

Joint Policyholder's Title:

Mr Mrs Ms Miss

Joint Policyholder's Full Name:

Joint Policyholder's Date of birth (dd/mm/yyyy):

× We need your date of birth in order to provide you with an accurate quote. You must be over 18 and under 65.

/ /

Has the Joint Policyholder used tobacco or nicotine products in the last 12 months?

× Smoking includes all tobacco and nicotine products such as cigars, chewing tobacco, pipes and nicotine replacement products such as e-cigarettes or "vapers".

Yes No

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Life Insurance Quote

1. Cover Details

1. Cover Details

2. Personal Details

2. Personal Details

Joint Policyholder Details

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