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Product Details

Please enter your introducer name (if applicable)

Introducer Name

If you have an introducer name, please enter it into this field.

If you're unsure about how much cover you need please call one of our advisers on 01233 661960

What type of insurance would you like?

Considering other types of cover?

We offer a range of protection products including Income Protection, Whole of Life, Family Income Benefit, Alternative Critical Illness Cover, Over 50s and many more.

Call our expert protection advisers on 01233 661960 Request a call

What is Level Term?

This policy will pay out a lump sum if you die within a set period of time. The lump sum won't change over time.

What is Decreasing Term?

This product is suitable to cover a debt the will gradually reduce over time (i.e. repayment mortgage). The pay-out will reduce over time and therefore the premiums are lower compared to Level Term.

Who would you like to cover?

Joint or Single cover?

A joint policy will pay out on the death of the first person (but then not the death of the second). We will provide you with quotes for a joint policy and two single policies (where each policy will pay out on death) as there is often little difference in premiums.

How much would you like?

How much cover to take out?

This will depend on your circumstances. Some people wish to cover debts such as a mortgage and/or provide financial protection for your family.

If you're unsure about how much cover you need please call one of our advisers on 01233 661960

How many years would you like cover for?

How many years?

This will depend on what you want cover for. The length of your mortgage, until your children are 18 or finished university?

If you're not sure please speak to one of our advisers on 01233 661960

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Contact Details

First Life

Second Life

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Health & Lifestyle

First Life

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

What is included?

This includes cigarettes, cigars, a pipe or other tobacco products; including nicotine replacements and e-cigarettes.

Do you have an ongoing or have you had a medical condition in the past 5 years?

Do you have an ongoing or have you had a medical conditions?

Medical conditions may affect your premium once you apply (i.e. high blood pressure, raised cholesterol or diabetes, anxiety, depression or other medical conditions).

Do you have a high-risk occupation or hobby?

Do you have a high risk occupation?

Certain high-risk occupations or hobbies may affect your premium (i.e. working at heights or with water, Armed Forces personnel, offshore oil and gas involvement or hazardous pursuits including climbing or extreme sports).

What is you height and weight?

ft in metres
st lb kg

What is your height and weight?

Your BMI may also affect the premium once you apply.


Second Life

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

What is included?

This includes cigarettes, cigars, a pipe or other tobacco products; including nicotine replacements and e-cigarettes.

Do you have an ongoing or have you had a medical condition in the past 5 years?

Do you have an ongoing or have you had a medical conditions?

Medical conditions may affect your premium once you apply (i.e. high blood pressure, raised cholesterol or diabetes, anxiety, depression or other medical conditions).

Do you have a high-risk occupation or hobby?

Do you have a high risk occupation?

Certain high-risk occupations or hobbies may affect your premium (i.e. working at heights or with water, Armed Forces personnel, offshore oil and gas involvement or hazardous pursuits including climbing or extreme sports).

What is you height and weight?

ft in metres
st lb kg

What is your height and weight?

Your BMI may also affect the premium once you apply.