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Find out if you qualify.

We need to gather some basic information in order to perform a preliminary analysis of your policy. This will only a take a couple of minutes.

  • 1 Contact Information

    Please provide basic contact information in case we have any follow-up questions regarding your policy. We don’t sell your information and we’ll only contact you in reference to selling your life insurance policy.

  • 2 Policy Information

    Information about your policy, such as size and type, is an important component in the life settlement valuation. It may be helpful to refer to your policy documentation if available.

  • 3 Insured Information

    Some policies insure multiple people, often a spouse or significant other. If the policy insures more than one person, please provide their information. Some people maintain more than one life insurance policy. Evaluating all of your policies at once may improve the insured's ability to qualify.

  • 4 Health Information

    Health information is one of the most important factors that impact eligibility. That’s because health directly impacts longevity, which can be the make-or-break factor when looking at the expected costs to keep the policy current.

Let’s get started.

What’s your name?

How do we contact you?

Are you insured on this policy?

Policy Info.

What is the death benefit?

What is the policy type?

How long have you owned this policy?

Was this policy provided by a current or former employer?


Additional Policy Info.

What is the death benefit?

What is the policy type?

How long have you owned this policy?

Was this policy provided by a current or former employer?

Insured Info.

What is your

What is your relationship to the insured?

What is the insured’s name?

How do we contact them?

What is their

What is your sex?

What is their sex?

How would you rate your current health?

How would you rate their current health?


Addition Insured Info.

Is the second insured deceased?

What is the second insured’s name?

How do we contact them?

What is their

What is their sex?

How would you rate their current health?

What is your relationship to this additional insured?

Health Info for

Have you ever been diagnosed with any of the following conditions?

Do you use any assistive devices or require ongoing medical support?

Is there anything else we should know about your health history?


Health Info for

Have you ever been diagnosed with any of the following conditions?

Do you use any assistive devices or require ongoing medical support?

Is there anything else we should know about your health history?

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