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Individual
Couples

Individual

Please fill the form below to get your Life Insurance Quote

Personal Details Date Of Birth:
/  /   Day / Month / Year e.g 12/03/1965

Gender:

Smoker Status:
    Select 'Smoker' if you have smoked in the last 12 months

Occupation:
   Enter Your occupation

Insurance Details
Term Life Insurance ($):
Term life insurance provides a lump sum payment on the death of the life insured. Approximate premiums are detailed below for non-smokers.

TPD Cover ($):
Total and Permanent Disability (TPD) is usually taken as an extension to life cover. It provides a lump sum payment in the event that the life insured is totally and permanently disabled.

Where people take income protection the amount of TPD cover can be reduced. As if you have correct income protection, in the event of total disablement the income protection policy will replace lost income.

Trauma Cover ($):
Trauma policies pay a lump sum in the event of an injury or sickness as defined in the policy document, (for example cancer, heart attack, stroke). This can be taken as a stand alone policy (on its' own), or attached to a life insurance policy.

There are basic trauma policies and there are extended trauma policies that cover a greater level of events (we only quote on the extended cover). Some policies offer TPD as a definition of trauma, therefore this can provide cost savings.

Would you also like quotes for Income Protection Cover?

YES
NO

You can fill the income protection insurance form here

Contact Details Name:
Your full name

Email Address:
   We require your email address and phone number

Phone Number:
   Please include area code. e.g. 03 1234 1234

Post Code:
   Please include post code. e.g. 3000

Enter The Number

Couples

Please fill the form below to get your and Partner's Life Insurance Quotes

Your Personal Details Date Of Birth:
/  /   Day / Month / Year e.g 12/03/1965

Gender:

Smoker Status:
    Select 'Smoker' if you have smoked in the last 12 months

Occupation:
   Enter Your occupation

Your Partner's Personal Details Partner's Name:
Partner's full name

Partner's Date Of Birth:
/  /   Day / Month / Year e.g 12/03/1965

Partner's Gender:

Partner's Smoker Status:
    Select 'Smoker' if your Partner smoked in the last 12 months

Partner's Occupation:
   Enter Your Partner's occupation

Your Insurance Details
Term Life Insurance ($):
Term life insurance provides a lump sum payment on the death of the life insured. Approximate premiums are detailed below for non-smokers.

TPD Cover ($):
Total and Permanent Disability (TPD) is usually taken as an extension to life cover. It provides a lump sum payment in the event that the life insured is totally and permanently disabled.

Trauma Cover ($):
Trauma policies pay a lump sum in the event of an injury or sickness as defined in the policy document, (for example cancer, heart attack, stroke). This can be taken as a stand alone policy (on its' own), or attached to a life insurance policy.

Would you also like quotes for Income Protection Cover?

YES NO

Fill the income protection insurance form here

Your Partner's Insurance Details
Term Life Insurance ($) :

TPD Cover ($) :

Trauma Cover ($) :

Would your partner also like quotes for Income Protection Cover?

YES NO

Fill the income protection insurance form here

Enter The Number