Beat My Insurance Quote

Life Insurance / Critical Illness Cover

Please complete this form and we will beat any quote for life insurance, critical illness cover or income protection and send it to you by email.

Applicant 1: Name * Title First Last
Applicant 1: Date of birth * / DD / MM YYYY
Applicant 1: Have used tobacco products within last 12 months (includes patches etc...)? *
Applicant 1: Occupation *
Will this policy provide joint cover? *
Applicant 2: Name Title First Last
For joint policies confirm 2nd applicant name
Applicant 2: Date of birth / DD / MM YYYY
For joint policies confirm 2nd applicant date of birth
Applicant 2: Have used tobacco products within last 12 months (includes patches etc...)?
Applicant 2: Occupation
Home telephone *

Enter your telephone number including the local dial code
Mobile number *
Email - So we can send your quote *

Enter your email address
Type of cover required *

Level term cover, the amount of term assurance cover remains level during the term of the policy and the benefit is paid as a lump sum on claim. Mortgage Protection - the amount of term assurance cover decreases over the term of the policy and the benefit is paid as a lump sum on claim. Family Income Benefit - the amount of cover remains constant throughout the term of the policy and benefits are paid as an income on claim.
Type of benefit required *
Benefit amount *

In pounds
How long do you need the cover for? *
Provider *

Please confirm the insurance company name
Waiver of Premium?
*

Does your quote have WAIVER OF PREMIUM? Should you be unable to work for a period of time the insurance company would pay you life assurance premiums to ensure that the cover does not lapse at a time when you may really need it.
Rate type *

Does your quote have Guaranteed premiums or Reviewable premiums? Guaranteed premium is fixed for the life of the policy. Reviewable premium may increase after 5th year if the provider suffers higher than expected claims.
Best premium you've been quoted *
Company that provided your quote *
Notes

Please use this note section to give us any other information about your request
We may very occasionally email you special offers on financial products, including discounts, cashback offers we think may interest you. * Keep me informed I don't want special offers