Please answer the qualifying questions below — this allows your licensed advisor to review your situation in advance and come fully prepared with the right Critical Illness coverage options when we connect.

1. Have you ever had, been told you have, or been treated for Acquired Immunodeficiency Syndrome (AIDS) or have you ever tested positive for Immunodeficiency Virus (HIV)? *

Yes

2. Do you have or have you ever had a symptom or complaint for which you have not yet consulted with a medical professional or for which you are being investigated, or for which a diagnosis has not yet been made but you are under observation or have had a test recommended but not yet started or completed or for which the results are not yet known (exclude normal pregnancy, cold, flu, musculoskeletal injuries or routine checkups for which no follow up is required)? *

Yes

Answer the short questions below.

3. Within the past 12 months, have you used by any means, a substance or product containing tobacco or nicotine (excluding cigars), or have you smoked (including electronic vaporizer or “vaping”) marijuana more than six times per week? *

Yes

4. Have you ever had heart bypass surgery, angioplasty, or stent insertion, or have you been treated for, or been diagnosed with diabetes type 1 or 2, stroke (CVA) transient ischemic attack (TIA or mini stroke), aneurysm, coronary artery disease, angina, heart attack, congenital heart abnormality, heart failure, cardiomyopathy, heart valve disease, cerebrovascular disease or disorder of the heart or blood vessels? (copy) *

Yes

5. Have you ever had an abnormal cardiac, carotid or cerebrovascular test result without subsequent investigation establishing a normal result? *

Yes

Answer the short questions below.

6. Have you ever had, been treated for, or been diagnosed with cancer (excluding basal cell carcinoma), a benign or malignant brain tumor, aplastic anemia or a disease or disorder related directly or indirectly to aplastic anemia? *

Yes

7. Have you ever had an abnormal mammogram, PSA, colonoscopy, ultrasound, or PAP test result without subsequent investigation establishing a normal result? *

Yes

Almost there! Answer the short questions below.

8. Have two or more members of your immediate family (father, mother, brothers, sisters) before the age of 60 ever had, been treated for, or been diagnosed with cancer, heart disease, stroke (CVA), transient ischemic attack (TIA or mini stroke) or aplastic anemia? *

Yes

9. Is your weight greater than indicated for your height in the following table? *

Yes

Congratulations! Based on your answers, you are eligible for Cardiac or Cancer Protect Critical Illness plan

Based on your answers, you do not qualify for any Critical Illness plans available.