ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAHAIAJAKALAMAN
1



MATRIX


AMAM
Express Term
(18-75)
AMAM
Home Certainty Term & Express UL
(20-75)
AMAM
Dignity Solutions
Whole Life
(50-85)
AMAM
QSFP
Whole Life
(50-85)
AMAM
Term Made Simple
(20-75)
Americo
HMS 100, 125,
CBO Term, & IUL
(20-75)
Americo Select Whole Life
40-85 (nonsmoker)
40-80 (smoker)
Fidelity &
Guarantee
Pathsetter IUL
(0-80)
Foresters
Strong Foundation Term
Smart UL
(18-80)
Foresters Plan Right Whole Life
50-75 (eApp)
76-85 (In Person Wet Sign Req)
John Hancock- Term Vitality
(20-60)
LGA/Banner Life
QLT Term Plus
MOO Critical Advantage
(18-89)
MOO
Term Life Express
IULE
(18-75)
MOO Living Promise
Whole Life
(45-85)
National Life Group
Term
EIUL
(18-85)
SBLI
QLT Term
(18-65)
Transamerica Immediate Solutions
Whole Life
(0-85)
UHL Simple Term
(20-60)
UHL
Whole Life
(20-80)
Corebridge GIWL
(50-80)
2
Agent GuidesExpress TermHome CertaintyDignity SolutionsDrug Exclusion ListTerm Made SimpleAmerico Term Agent GuideEagle PremierPathsetterStrong Foundation
Diabetes Calculator
Plan RightVitalityQLT Term PlusMOO Critical AdvantageMOO Agent Guide
Drug Exclusion
Living PromiseNLG/LSW Term/EIULSBLI TermImmediate SolutionsUHL TermUHL Whole LifeN/A
3
Carrier WebsitesAMAMAMAMAMAMAMAMAMAMAmericoAmericoF & GForestersForestersJohn HancockLGA MOOMOOMOONLGSBLITrans AmUHLUHL Corebridge
4
Phone Number1-800-736-73111-800-736-73111-800-736-73111-800-736-73111-800-736-73111-800-231-0801

1-800-321-0801

1-800-445-67581-866-466-71661-866-466-71661-800-505-94271-833-520-21311-800-775-78961-800-775-78961-800-775-78961-800-732-8939(855)-642-0023
(Sales Support)
(888)-224-7254
(Agent Support)
1-877-454-47681-800-428-30011-800-428-30011-800-677-3311
5
E Apps
AMAM
AMAMAMAMAMAMAMAMAmerico Part 1Americo Part 2F&G Part 1
F&G Part 2
Strong FoundationPlan RightJohn HancockLGA Part 1
LGA Part 2
LGA Part 3
Critical
Advantage
MOO AD
MOO AD Text
MOO Part 1
MOO Part 2
MOO Text 1
MOO Text 2
NLG/LSWSBLITrans Am
UHL Part 1
UHL Part 2

UHL Text 1
UHL Text 2
Corebridge
6
7
Miscellaneous Info
8
9
Declines Reported?NO report for declines.
They report flagged cases
NO report for declines.
They report flagged cases
NO report for declines.
They report flagged cases
NO report for declines.
They report flagged cases
NO report for declines.
They report flagged cases
NOT REPORTEDNOT REPORTEDCondition will be flagged,
Decline not reported.
Condition will be flagged,
Decline not reported.
Condition will be flagged,
Decline not reported.
YESDecline is not reported.
Application is reported.
Decline is not reported.
Application is reported.
Decline is not reported.
Application is reported.
Will flag the condition.
Carriers will not report what
offers are made
NOWill flag the condition.
Carriers will not report what
offers are made
PHI-don't count
Submitted App-YES
PHI-don't count
Submitted App-YES
10
Docusign?NO for apps. YES for endorsements NO for apps. YES for endorsements NO for apps. YES for endorsements NO for apps. YES for endorsements NO for apps. YES for endorsements YES- only with Docusign
account. Must include Docusign certificate.
YES- only with Docusign
account. Must include Docusign certificate.
YES- Must include Docusign certificate.No- only on additional forms needed after the application is submitted.No- only on additional forms needed after the application is submitted.N/AYES- Must include Docusign certificate.YES- Must include Docusign certificate.YES- Must include Docusign certificate.YES- Must include Docusign certificate.NOYES- Must include Docusign certificate.NONO
11
Paramed VendorsN/AN/AN/AN/AN/AN/AN/AAmerican Para Professionals (APPS)
1-800-635-1677

ExamOne 1-877-933-9261

YOUR TERM AND SMART UL ExamOne 1-877-933-9261N/AN/ATERM LIFE ANSWERS

American Para Professionals (APPS)
1-800-635-1677

ExamOne
1-877-933-9261
TERM LIFE ANSWERS

American Para Professionals (APPS)
1-800-635-1677

ExamOne
1-877-933-9261
N/AAmerican Para Professionals (APPS) 1-800-635-1677

ExamOne 1-877-933-9261
N/AAmerican Para Professionals (APPS) 1-800-635-1677

ExamOne 1-877-933-9261
N/AN/A
12
Payments Accepted?Account and Routing Numbers
only
Account and Routing Numbers
only
Account and Routing Numbers
only
Account and Routing Numbers
only
Account and Routing Numbers
only
Account and Routing Numbers
only
Account and Routing Numbers
only
Account and Routing Numbers
only
Account and Routing Numbers
only
Account and Routing Numbers
only
Account and Routing Numbers
only
Account and Routing Numbers

Credit Cards acceptable for first payment only BUT BANK INFO MUST BE ENTERED AS WELL

Amex, Visa, MC Only
Account and Routing Numbers

Credit Cards acceptable for first payment only BUT BANK INFO MUST BE ENTERED AS WELL

Amex, Visa, MC Only
Account and Routing Numbers

Credit Cards acceptable for first payment only BUT BANK INFO MUST BE ENTERED AS WELL

Amex, Visa, MC Only
Account and Routing Numbers
only
Account and Routing Numbers OnlyWhole Life:
Account and Routing Numbers
Credit Cards
Amex, Visa, MC Only

Trendsetter:
Account and Routing Numbers
Credit Card can be used for the first payment only
Account and Routing Numbers
only
Account and Routing Numbers
only
AIG
Account and Routing Numbers
Credit Cards
Amex, Visa, MC Only
13
Phone Interview
Required
APPTICAL
(877) 351-1773;

MON-FRI
730 AM CST-1AM CST,

SAT-SUN
9AM-9PM CST
APPTICAL
(877) 351-1773;

MON-FRI
730 AM CST-1AM CST,

SAT-SUN
9AM-9PM CST
APPTICAL
(877) 351-1773;

MON-FRI
730 AM CST-1AM CST,

SAT-SUN
9AM-9PM CST
APPTICAL
(877) 351-1773;

MON-FRI
730 AM CST-1AM CST,

SAT-SUN
9AM-9PM CST
AGES 65-75 FOR $50K-$500K
PHI REQUIRED

APPTICAL
(877) 351-1773;

MON-FRI
730 AM CST-1AM CST,

SAT-SUN
9AM-9PM CST
N/A

NOTE
E APP SHUTS DOWN AT 11 PM LOCAL TIME NIGHTLY
N/A

NOTE
E APP SHUTS DOWN AT 11 PM LOCAL TIME NIGHTLY
If additionaal info is needed = YES

More than likely a PHI will be
REQUIRED
N/AAPPTICAL (877) 351-1773;

MON-FRI 730 AM CST-1AM CST,

SAT-SUN 9AM-9PM CST
N/AN/AN/AN/AN/AN/AN/AN/AIBU
(866) 333-6557

MON-TH
830 AM-1130 EST

FRI
830 AM-10PM EST

SAT
11AM-7PM EST

SUN
CLOSED

ONLY PROVIDER WHOLE LIFE
requires Phone Interviews
14
Split W/Uncontracted AgentNONONONONONO NO NO NONO NOYES-as long as not pre-
appointment states
But it does not speed up
contracting
YES-as long as not pre-
appointment states
But it does not speed up
contracting
YES-as long as not pre-
appointment states
But it does not speed up
contracting
NO NONONONO
15
Telesales?APPTICAL
(877) 351-1773;

MON-FRI
730 AM CST-1AM CST,

SAT-SUN
9AM-9PM CST
APPTICAL
(877) 351-1773;

MON-FRI
730 AM CST-1AM CST,

SAT-SUN
9AM-9PM CST
APPTICAL
(877) 351-1773;

MON-FRI
730 AM CST-1AM CST,

SAT-SUN
9AM-9PM CST
APPTICAL
(877) 351-1773;

MON-FRI
730 AM CST-1AM CST,

SAT-SUN
9AM-9PM CST
APPTICAL
(877) 351-1773;

MON-FRI
730 AM CST-1AM CST,

SAT-SUN
9AM-9PM CST
NO

EAGLE PREMIER ONLY
855-248-8327
9-5 PM CST, M-F ONLY

ALL PRODUCTS
BANKING PH VERIFICATION
NUMBER-Client must be on
phone for Account verification
866-214-0054;
9-5 PM CST, M-F ONLY

NO NONOYES-phone based sale available

CLIENT WILL BE ASKED TO
E SIGN APP VIA EMAIL
NONONONONONONONOGERBER-YES 877-885-7612 8:30AM-6 PM CST; M-F
16
17
Background Questions
18
19
Alcohol/Drug TreatmentTreatment over 4 years= ACCEPTTreatment over 4 years = ACCEPTTreatment over 2 years= ACCEPTOver two years = ACCEPTTreatment over 4 years = ACCEPTOver 10 years = ACCEPTOver 2 years = ACCEPTAfter 3 years CALL CARRIER

Within 3 years = DECLINE
treatment over 5 years= ACCEPT-
NO RELAPSE
Within 2 yrs = Basic Death BenefitDECLINE if tested positive for
any of the following:
Cocaine
Heroin and
Prescription amphatamines
Hallicinogens
Alcohol abuse with current use = DECLINE

Alcohol abuse – abstinence less than
two years =DECLINE

Drug abuse (excludes marijuana)
• Single drug within three years of
complete abstinence
• Multiple drugs within four years of
complete abstinence
• Multiple relapses = DECLINE
N/ATreatment over 10 years= ACCEPTtreatment over 2 years= ACCEPT

Within 2 years = GRADED
(total abstinence 5 years)
No rating to DECLINE
DECLINE











Within 0-2 years = DECLINE
Within 2-4 years = GRADED
Within 4-10 years = STANDARD
Over 10 years = PREFERRED

0-17 = DECLINE
























Over 5 years w/o treatment = ACCEPTOver 2 years w/o treatment= PREMIER
20
AvocationsStudent pilot, Pilot private=
DECLINE;
Pro pilot, or over 100 hrs as
pilot
= ACCEPT
Student pilot, Pilot private=
DECLINE;
Pro pilot, or over 100 hrs
as pilot =
ACCEPT
NONENONEStudent pilot, Pilot private=
DECLINE;
Pro pilot, or over 100 hrs
as pilot =
ACCEPT
Hazarous Activities =
DECLINE-See App
NONESee Agent GuideNONECheck GuideRecreational scuba
Available for Preferred Plus rates if:
• dives do not exceed 100 feet
• PADI, NAUI, or SSI certified and all
dives are done with dive master or
instructor
• open water dives only
• does not participate in wreck,
salvage, ice or cave diving
• no personal history of disease or
impairment that would adversely
affect mortality
• no pre-existing medical impairments
which may affect the safety of the
scuba diving
N/ASee ListNoneDangerous occupations or
avocations are not accepted.

Police, Commercial pilots =
ACCEPT
Motor vehicle racing, skydiving,
piloting a private aircraft, scuba diving over 100 feet =
DECLINE
Employed in cannabis industry =
DECLINE
No Restrictions;

Only on Protector AD*
No Restrictions;

Only on Protector AD
21
CitizenshipSSN, ITIN, OR Permanent
resident ONLY= ACCEPT

SSN, ITIN, OR Permanent
resident ONLY= ACCEPT

SSN, ITIN, OR Permanent
resident ONLY= ACCEPT

SSN, ITIN, OR Permanent
resident ONLY= ACCEPT

SSN, ITIN, OR Permanent
resident ONLY= ACCEPT

Green Card, Permananet
Resident, or US I-551 Card
Green Card, Permananet
Resident, or US I-551 Card
CALL CARRIER

Green Card
Permanent Resident
18-70

ITIN, living, working or retired in the US for at least five years, and paying taxes = ACCEPT
Green Card
Permanent Resident
18-70

ITIN, living, working or retired in the US for at least five years, and paying taxes = ACCEPT
ONLY US CITIZENS , PERMANENT RESIDENCE, GREEN CARD HOLDERS ARE ELIGIBLE Please consult with the underwriting
team or get a QuickQuote request to understand our current philosophy regarding foreign residence and past and/or contemplated foreign travel.
Green Card OK

ACCEPTABLE VISAS

DE1, E2, H1B, H4, L1, L2 -
See Foriegn Natl Quest.
Green Card OK

ACCEPTABLE VISAS

DE1, E2, H1B, H4, L1, L2 -
See Foriegn Natl Quest.
Green Card OK

ACCEPTABLE VISAS

DE1, E2, H1B, H4, L1, L2
Green Card
Permanent Resident
ITIN
SSN
Must be either a US citizen
permanent resident or have a work Visa

Student visas and other visas = DECLINE
ITIN or SSN
Residing in the US for two years
GREEN CARD
SSN
Min 2 years in USA
GREEN CARD
SSN
Min 2 years in USA
22
Criminal History
(Felonies)
Convicted of felony or
misdemeanor
within 5 yrs=
DECLINE;
Probation or parole
within 6 mos= DECLINE
Convicted of felony or misdemeanor within 5 yrs =DECLINE;
Probation or parole
within 6mos = DECLINE
Currently incarcerated, probation, parole, pending charges = DECLINECurrently incarcerated, probation, parole, pending charges = DECLINEConvicted of felony or misdemeanor within 5 yrs =DECLINE;
Probation or parole
within 6mos = DECLINE
Over 10 years past conviction and
jail time, parole over 5 years, and probation over two years
=ACCEPT

Violent ciminals and drug offenses are
=DECLINE
Within 6 months being incarcerated
= DECLINE
CALL CARRIER

Parole or probation after 5 years with jail time
=POSSIBLE-CALL CARRIER

No jail time served, depending on nature of crime, if over 1 year after probation or parole ended = POSSIBLE-CALL CARRIER

Probation, parole, charges pending within 1 yr = DECLINE
Currently incarcerated, probation, parole, pending charges = DECLINEDECLINEApplicants who are in jail, awaiting
trial, on probation or parole, have
multiple or major felonies (e.g.
murder, rape, organized crime, or
terrorist acts) will not be considered for life insurance.
N/AConvicted of felony or misdemeanor within 10 years= DECLINE;
Probation or parole within 6 mos = DECLINE
Convicted of felony within 2 years =
GRADED

Probation or parole within 6 months = DECLINE
Current Parole or Probation =
DECLINE

Within 1 yr from parole or
probation = POSS ACCEPT

Single charge/one time
occurrence generally and non
violent crimes only
Charged with a felony within 10 years
=DECLINE








Within 0-3 years = DECLINE
Within 3-5 years = GRADED
Within 5-10 years = STANDARD
Over 10 years = PREFERRED

Multiple offenses in last 10 years =
DECLINE

0-17 = DECLINE























Over 10 years felony, pending felony, parole for felony
= ACCEPT
Over 10 years felony, pending felony, parole for felony =PREMIERACCEPT
23
DisabilityReceiving ssi benefits for and/or unemployed due to medical reasons
= DECLINE

Military disability-as long as
health issue is a considered
insureable condition and
works at least 30 hours
=ACCEPT
Receiving ssi benefits for and/or
unemployed due to medical reasons
= DECLINE

Military disability-as long as
health issue is a considered
insureable condition
AND
works at least 30 hours
= ACCEPT
ACCEPTACCEPTReceiving ssi benefits for and/or
unemployed due to medical reasons
= DECLINE

Military disability-as long as
health issue is a considered
insureable condition
AND
works at least 30 hours
= ACCEPT
DECLINEACCEPTCALL CARRIER

Fully Underwritten OnlyACCEPT

Requires assistance with
w/ADL's =
DECLINE
DECLINEIf in intensive care or in a
wheelchair, cannot do the
ICU rider.
ACCEPT if due to Back, Hip, or Spine injuryACCEPTIf working 30 hours and recieved disability (military), as long as the condition is insurable = ACCEPTSocial security disability with last claim over 2 years ago = ACCEPT

Military Disability = ACCEPT
Defined as: Disabled due to pain, using narcotic pain meds on a daily or weekly basis,
OR 6 fills of narcotic pain meds in the last 12 month period.

Currently unemployed or disabled due to pain – GRADED

Diagnosed with/treated for within 1 year – GRADED

Employed, no disability due to pain or treatment over 1 year – PREFERRED
currently disabled or disabled within last 6 mos = DELUXE TERMif under 65, currently disabled or disabled within last 6 mos = DELUXE
24
Driver License/DUI Within 3 yrs, or 2 or more accidents, or 3 or more driving violations or combination or license currently suspended or revoked=DECLINEWithin 3 yrs, or 2 or more accidents, or 3 or more driving violations or combination or license currently suspended or revoked=DECLINETreatment for alcohol within 2 yrs = DECLINETreatment for alcohol within 2 yrs = DECLINEWithin 3 yrs, or 2 or more accidents, or 3 or more driving violations or combination or license currently suspended or revoked=DECLINECase by Case basis;
Multiple=DECLINE
Drug or alcohol rehab within 2 years = ACCEPT

Within 6 months being incarcerated
= DECLINE
CALL CARRIER

Single DUI within 12 months OR 2 DUI within 5 years = DECLINE

More than 2 DUI
Call Risk Assessment Line

Suspended license or not in good standing = DECLINE
Within two years = BASIC

Suspended license or not
in good standing = DECLINE
Within 5 years = DECLINE

Currently suspended or revoked license in past 12 months = DECLINE
N/AWithin 5 yrs, or 4 or more driving violations or combination or license currently suspended or revoked = DECLINEWithin 2 yrs, or 2 or more reckless driving convictions = GRADED1 DUI within 1 yr or
Multiple DUI's within 5 years
= DECLINE
DUI/DWI, reckless driving conviction, or license suspended or revoked =
DECLINE
Reckless driving, DUI:
Within 2 years – DECLINE
Within 2-5 years – STANDARD
Over 5 years = PREFERRED

Multiple offenses in last 5 years = DECLINE

0-17 = DECLINE
Within 5 years DUI or suspended or revoked = DECLINEWithin 2 yrs DUI or suspended or revoked = EIWL
25
Family HistoryN/AN/AN/AN/AN/AN/AN/AIf parent or sibling has cancer or cardiac arrest before 60 =
STANDARD
N/AN/AN/AN/AN/AN/AN/AN/AN/A
26
Marijuana UseCan consider medical
marijuana with a copy of the
medical ID card and copy of
medical records.

Otherwise = DECLINE
Can consider medical
marijuana with a copy of the
medical ID card and copy of
medical records.

Otherwise = DECLINE
ROPROPCan consider medical
marijuana with a copy of the
medical ID card and copy of
medical records.

Otherwise = DECLINE
Occasional Use-Smoker RatesOccasional Use-Smoker RatesCALL CARRIER

Ask for frequecny and amount of use

May be Non Tobacco
Recreational use (5x/wk) =
ACCEPT W/NON TOBACCO RATES

Medical Use:
DEPENDS ON REASON

More than 5X/week = MEDICAL EXAM

SMART UL WITH Vaping marijuana is =
TOBACCO RATE
Recreational, legal in state =
Non Tobacco Preferred

Illegal in state =
Basic Death Benefit Non
tobacco rate

Vaping marijuana is =
TOBACCO RATE
ACCEPT for both recreational
and medicinal
N/AACCEPT W/NON NICOTINE RATESACCEPT W/NON NICOTINE RATESEmail NLG Quick Quotes

underwritingquotes
@nationallife.com
If used less than 4 times per week = ACCEPT W/POSSIBLE NICOTINE RATESACCEPT W/NON NICOTINE RATESIf legal in state, OR
prescribed w/medical card,
ACCEPT

Smoker rates apply

Otherwise-DECLINE
If legal in state, or
prescribed w/medical card,
PREMIER

Smoker rates apply

Otherwise-DECLINE

27
MilitaryActive Military = ACCEPT
as long as they are present
to sign app-

NO DI RIDER
Active Military = ACCEPT
as long as they are present
to sign app-

NO DI RIDER
Active Military = ACCEPT
as long as they are present
to sign app-
Active Military = ACCEPT
as long as they are present
to sign app-

Active Military = ACCEPT
as long as they are present
to sign app-

NO DI RIDER
Active Duty = ACCEPT;

Deployed or have orders to be
deployed in:
Saudi Arabia, Iraq, Afghanistan,
Syria, Somalia, Sudan, Yemen =
DECLINE
NONEActive Duty, no overseas
deployment orders, stateside =

ACCEPT
As long as they are not
deployed or have plans to be
deployed = ACCEPT
As long as they are not
deployed or have plans to be
deployed = ACCEPT
ACTIVE, stateside = ACCEPT

Deployed= DECLINE
N/AAs long as they are not
deployed or have plans to be
deployed = ACCEPT;
check avoaction list
ACCEPTAs long as they are not
deployed or have plans to be
deployed = ACCEPT;

If plans to be deployed, email
underwritingquotes@
nationallife.com
Active military = DECLINE

National Guard or reserves if not on alert for or recieved orders to, or currently serving in a war zone or area of conflict or political instability = ACCEPT
ACCEPTNo Protector AD

Active duty + deployed
= PENDING UNDERWRITING;

Must fill out Military Final Disclosure
Form
No Protector AD Active duty + deployed = PENDING UNDERWRITING; Must fill out Military Final Disclosure Form
28
OccupationNo occupations apply.
Disability for Law Enforcement,
Hazardous Occupations
=
DECLINE
No occupations apply.
Disability for Law Enforcement,
Hazardous Occupations
=
DECLINE
No occupations apply.
Disability for Law Enforcement,
Hazardous Occupations
=
DECLINE
No occupations apply.
Disability for Law Enforcement,
Hazardous Occupations
=
DECLINE
No occupations apply.
Disability for Law Enforcement,
Hazardous Occupations
=
DECLINE
Hazardous Occupations = DECLINENONEHazardous Occupations = CALL
CARRIER
See Agent GuideNONECHECK PG 1 OF AGENT GUIDEPreferred Plus rate class may be
available for pilots of major airlines
flying in the US and Canada without
any other aviation exposure.

Preferred Plus and Preferred rate
classes may be available with an
Aviation Exclusion Rider for other
aviation activity.
N/ACheck Avocation List;
Police and Firemen ok
ACCEPTDangerous occupations or
avocations are not accepted.

Police, Commercial pilots =
ACCEPT
Actively employed or a homemakerACCEPTNo Restrictions;
Only on Protector AD

Pilots/Crew Member=
DELUXE
No Restrictions;
Only on Protector AD

Pilots/Crew Member =
DELUXE WL
29
Tobacco PREFERRED TOBACCO FOR
CHEW AND SNUFF ONLY
CIGAR USE ONCE/3 MO
.
CIGAR USE ONCE/3 MO.=
NON TOBACCO
CIGAR USE ONCE/3 MO. =
NON TOBACCO
CIGAR USE ONCE/3 MO.=
NON TOBACCO
CIGAR USE ONCE/3 MO.=
NON TOBACCO
Anything with Nicotine = SMOKER
RATES
Non Tobacco Rates for 3 yrs;
IF CLIENT DOES NOT NOTIFY
CARRIER, FACE AMOUNT
WILL AUTOMATICALLY BE
REDUCED
Anything with Nicotine = SMOKER
RATES
VAPING, CIGARS, CHEWING
TOBACCO =NON TOBACCO

SMART UL
VAPING, CIGARS, CHEWING
TOBACCO =TOBACCO
Vaping= NT
One cigar/yr = TOBACCO USE
Vaping, Chantix and any other
cessation products
within 12 months are considered
tobacco use
A tobacco user is considered to be
anyone who has used tobacco in
any form in the last 12 months. This
includes:
• cigarettes
• cigars — only limited cigar usage
may be considered for non-tobacco
rates
• pipes
• smokeless tobacco
• chewing tobacco / snuff
• nicotine substitutes, including
patches and gum
• electronic (smokeless) cigarettes
• vaping
N/ANon-Smoker/Non-Nicotine
Qualifications

To qualify for non-nicotine rates,
the proposed insured must not
have used tobacco or nicotine
products in any form (gum,
patch, cigar, vaping, electronic
cigarettes, hookah, etc.) within
one year prior to the applications.

We do not allow occasional cigar
use to qualify for nontobacco
rates with our simplified issue
products.
uses application
questions for
underwriting;

within 2 cigars/mo=NS
Nicotine use =Smoking Rate;

Occasional Cigars less than 12 cigars/yr= NON TOBACCO;
12 or more cigars per year
= TOBACCO
Nicotine use = NICOTINE RATE

Occasional cigar use = NICOTINE RATE
Nicotine replacement,
smoking or tobacco products in
any form including, but not
limited to the following:


Nicotine gum, patch, or pills;
cigarettes; cigars; pipe; chew;
snuff; e-cigarettes; vape;
hookah; or have used
marijuana more than 12 times
in the last 12 months
Nicotine use =
Smoking Rate
Nicotine use =
Smoking Rate
30
31
Medical Conditions
32
33
Activities of Daily LivingDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEACCEPTDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEGIWL

GIWL REQUIRES VIDEO
CONFERENCING OR IN PERSON APP
GRADED
34
AIDSDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEGRADED
35
AIDS Related Complex
(ARC)
DECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEGRADED
36
ALS
(Lou Gehrig's Disease)
DECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINE for Critical Illness

ACCEPT for heart attack,
stroke and cancer policies
DECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEGRADED
37
AlzheimersDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINE for Critical Illness

ACCEPT for heart attack,
stroke and cancer policies
DECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEGRADED
38
AmputationDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDue to diabetes complications
= DECLINE
DECLINEDECLINEACCEPTDECLINEDue to diabetic complications
= DECLINE
Rate for CauseDECLINEIf accident or trauma = PREFERRED

Hospitalization within a year = STANDARD

Otherwise = DECLINE
ACCEPT- as long as
they can complete the
ADLs
PREMIER- as long as
they can complete the
ADL's
39
AnemiaIron deficiency on vitamins only= ACCEPTIron deficiency on vitamins only= ACCEPTACCEPTACCEPTIron deficiency on vitamins only= ACCEPTIron deficiency =ACCEPT;

Pernicious Anemia = DECLINE
ACCEPTIron deficiency on vitamins only=
ACCEPT
Iron deficiency on vitamins only= ACCEPTPreferred Death BenefitIron deficiency on vitamins only= ACCEPTACCEPTIron deficiency on vitamins only= ACCEPTACCEPTRate for CauseDECLINEDiagnosis and/or treatment
within three months =
GRADED

With activity credit = STANDARD
Treatment over three months ago =
PREFERRED
DECLINEEIWL
40
AneurysmDECLINEDECLINETreatment within 2yrs= ROP

Treatment within 3 yrs =GRADED
Over two years = ACCEPTDECLINEDECLINEOver 1 year = ACCEPTCALL CARRIERDECLINE Within 2 yrs of diagnosis or any
duration of diagnosis if not
repaired or removed =
Basic Death Benefit (graded)
DECLINEDECLINE

Aortic aneurysm – recommended/
pending surgical repair OR surgical
repair within six months = DECLINE
Within the last ten years,
have been diagnosed,
treated or consulted with a
medical professional
= DECLINE

ACCEPT FOR CANCER
DECLINEOver 2 yrs =ACCEPT

Within 2 years = GRADED
No RatingDECLINEPREFERRED
Hospitalization within a year = STANDARD
Over 5 years treated= ACCEPT
maintenance ok
Over 2 years treated= PREMIER
maintenance ok

Over 1 year = EIWL
41
AnginaDECLINEDECLINETreatment within 2yrs= ROP

Treatment within 3 yrs =GRADED

Maintenance = ACCEPT
Over two years = ACCEPTDECLINEDECLINEOver 1 year = ACCEPTCALL CARRIERDECLINEWithin 1 yr – Basic Death Benefit
(graded)

Within 2 yrs= Standard Death
Benefit
DECLINEDECLINEWithin the last ten years,
have been diagnosed,
treated or consulted with a
medical professional
= DECLINE

ACCEPT for Cancer policy
DECLINEOver 2 yrs =ACCEPT

Within 2 years = GRADED
Angina Pectoris =
Table 6 to Decline
Diagnosed or treated within last 5 years = DECLINEPREFERRED
Hospitalization within a year = STANDARD
Over 5 years treated= ACCEPT
maintenance ok
Over 2 years treated= PREMIER
maintenance ok

Over 1 year = EIWL
42
AngioplastyDECLINEDECLINEOver 3 years = ACCEPTOver two years = ACCEPTDECLINEDECLINEOver 1 year = ACCEPTCALL CARRIERDECLINE Within 1 yr – Basic Death Benefit
(graded)

Within 2 yrs= Standard Death
Benefit
DECLINEDECLINEWithin the last ten years,
have been diagnosed,
treated or consulted with a
medical professional
= DECLINE

ACCEPT for Cancer policy
DECLINEOver 2 yrs =ACCEPT

Within 2 years = GRADED
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DECLINEPREFERRED
Hospitalization within a year = STANDARD
Over 5 yrs treated= ACCEPT
maintenance ok
Over 2 years treated= PREMIER
maintenance ok

Over 1 year = EIWL
43
Anxiety1-2 mild meds, situational = ACCEPT

Major depression (3+meds), bipolar = DECLINE
1-2 mild meds, situational = ACCEPT

Major depression (3+meds), bipolar = DECLINE
ACCEPTACCEPT1-2 mild meds, situational = ACCEPT

Major depression (3+meds), bipolar = DECLINE
Mild or situational, diagnosed
within 6 months or hospitalized
for = DECLINE
Treated with meds=
ACCEPT

Within 6 months hospitalized for 48
hours or more= DECLINE
1-2 mild meds, situational = STANDARD

Major depression (3+meds), bipolar,
drug or alcohol use = RATED TO DECLINE
MILD; Diagnosed over 25 ;
Onset over 1 yr, no hospitalization or time off work= ACCEPT

Severe= DECLINE
Preferred Death Benefit,
check meds
ACCEPT

If hospitalized within 5 yrs ago = DECLINE
ACCEPTHopitalized within 10 yrs = DECLINE

Otherwise = ACCEPT
No history of bipolar or
schizophrenia =
ACCEPT
Mild = No RatingMajor anxiety requiring 3 or more meds, or that led to loss of work witihin last 5 years = DECLINEPREFERRED
Hospitalization within a year = STANDARD
ACCEPT;

Hospitalized 2 or more times
in last 12 months =
DECLINE
PREMIER
44
ArrhythmiaDECLINEDECLINEControlled with no
procedures over 3 years = ACCEPT.
Over two years = ACCEPTDECLINEDECLINERhythm disorders = ACCEPT

Surgery like ablation over 1 yr
= ACCEPT
CALL CARRIERDECLINE;

Murmur
“innocent”, no symptoms, no
treatment =
ACCEPT
Within 1 yr – Basic Death Benefit
(graded)

Within 2 yrs= Standard Death
Benefit
DECLINEDECLINEWithin the last ten years,
have been diagnosed,
treated or consulted with a
medical professional
= DECLINE

ACCEPT for Cancer policy
DECLINEOver 2 yrs =ACCEPT

Within 2 years = GRADED
No Rating to Moderate;

Murmur (mitral)-
Moderate Rating to Decline
Diagnosed or treated within last 5 years = DECLINEPREFERRED
Hospitalization within a year = STANDARD
DECLINEEIWL
45
Arthritis-OsteoACCEPT-as long as no
disability
ACCEPT-as long as no
disability
ACCEPTACCEPTACCEPT-as long as no
disability
Debilitating or disabling =
DECLINE

Psoriatic or inflammatory diag. <6 mos, steroid, biologics, infusion therapy, or steroid use = DECLINE
ACCEPTACCEPT-as long as no
disability
ACCEPTPreferred Death BenefitACCEPT;
Check meds
ACCEPT-check medsACCEPTACCEPT-check medsACCEPT-check medsNo Rating/Moderate ratingACCEPTPREFERRED;

Disbaled due to chronic pain = GRADED
ACCEPT-as long as
no disability

Disability= DELUXE
PREMIER-as long as
no disability

Disability= DELUXE
46
AsthmaMild, occasional brief episodes, allergic, seasonal=ACCEPT

Moderate, more than 1 episode a month = ACCEPT

Severe, hospitalization or ER in 12 mos = DECLINE
maintenance steroid use = DECLINE
combined w/tobacco= DECLINE

ORAL STEROIDS = DECLINE
Mild, occasional brief episodes, allergic, seasonal=ACCEPT

Moderate, more than 1 episode a month = ACCEPT

Severe, hospitalization or ER in 12 mos =DECLINE
maintenance steroid use = DECLINE
combined w/tobacco =DECLINE

ORAL STEROIDS = DECLINE
As long as no COPD inhaler = ACCEPT

Tobacco use= DECLINE
Mild, occasional brief episodes, allergic, seasonal=ACCEPT

Moderate, more than 1 episode a month = ACCEPT

Severe, hospitalization or ER in 12 mos =DECLINE
maintenance steroid use = DECLINE
combined w/tobacco =DECLINE

ORAL STEROIDS = DECLINE
Steroid use=DECLINE

Hospitalized or ER visit 12
months = DECLINE

Well controlled/
seasonal allegies= ACCEPT
Chronic Asthma = ACCEPT;

Chronic bronchitis, COPD, or
other resp issue =
DECLINE
Mild, occasional brief episodes,
allergic, seasonal=ACCEPT

Smoker, steroid inhaler = CALL
CARRIER




Mild/Moderate with
standard weight= ACCEPT even if they smoke

Severe, hospitalization
=DECLINE
Preferred Death Benefit;
check meds
ACCEPT;
Check meds
ACCEPTChronic/severe DECLINE

Steroid Use=DECLINE
Mild=ACCEPT

Chronic =DECLINE
No Rating to DeclineIn the last 5 years,
Yes to Asthma, No to hospitaliztion =
SELECT
Yes to Asthma, Yes to hospitaliztion,
emergency room or immediate care
center visit = DECLINED
Mild (no daily symptoms, no
limitations to daily activities, no
reduced long function, no regular
use of steroids and no ER visits or
hospitalizations due to asthma in
last 5 years = PREFERRED

Chronic = STANDARD

With Activity Credit = PREFERRED

See COPD for qualifications for
activity credit
Controlled asthma, no hospitalization in 2 years = ACCEPTControlled asthma, no hospitalization in 2 years = PREMIER
47
Asthma-Steroid InhalerDECLINEDECLINENo COPD inhaler=ACCEPT;

Tobacco use=DECLINE
DECLINEDECLINEChronic Asthma = ACCEPT;

Chronic bronchitis, COPD, or
other resp issue =
DECLINE
CALL CARRIERMild/Moderate with
standard weight= ACCEPT (even if they smoke)

Severe, hospitalization
=DECLINE
Preferred Death Benefit;
check meds
DECLINEACCEPTDECLINEDECLINEUsing daily, filled monthly
chronic = DECLINE
Mild-under control
ACCEPT
In the last 5 years,
Yes to Asthma, No to hospitaliztion =
SELECT
Yes to Asthma, Yes to hospitaliztion =
DECLINED
Chronic = STANDARD

Medication dependent on
COPD meds = STANDARD

With Activity Credit = PREFERRED

See COPD for qualifications for
activity credit
Controlled asthma, no hospitalization in 2 years = ACCEPTControlled asthma, no
hospitalization in 2 years =
PREMIER
48
Atrial Fibrillation (A-Fib)DECLINEDECLINEControlled with no
procedures over 3 yrs = ACCEPT;

Surgery like ablation over 3 yrs
= ACCEPT
Over two years = ACCEPTDECLINEDECLINERhythm disorders = ACCEPT

Surgery like ablation over 1 yr
= ACCEPT
CALL CARRIERDECLINEWithin 1 yr – Basic Death Benefit
(graded)

Within 2 yrs= Standard Death
Benefit
DECLINEDECLINEWithin the last ten years,
have been diagnosed,
treated or consulted with a
medical professional
= DECLINE

ACCEPT for Cancer policy
DECLINEOver 2 years = ACCEPT;

Within 2 years = GRADED

Blood thinners= DECLINE
No Rating to Moderate RatingDiagnosed or treated within last 5 years = DECLINEPREFERRED

Hospitalization within a year = STANDARD
EIWL

Defibrillator
-DECLINE
EIWL

Defibrillator-DECLINE
49
AutismMust be HIGHLY FUNCTIONING:
able to work at least
30 hours, recieve no disability,
and not need help with ADL'S
= ACCEPT

Otherwise = DECLINE
Must be HIGHLY FUNCTIONING:
able to work at least
30 hours, recieve no disability,
and not need help with ADL'S
= ACCEPT

Otherwise = DECLINE
Must be HIGHLY FUNCTIONING:

Able to not need help with ADL'S or need home health care= ACCEPT

Otherwise = DECLINE
DECLINEMust be HIGHLY FUNCTIONING:
able to work at least
30 hours, recieve no disability,
and not need help with ADL'S
= ACCEPT

Otherwise = DECLINE
DECLINEMust be HIGHLY FUNCTIONING:

Able to not need help with ADL'S or need home health care= ACCEPT

Otherwise = DECLINE
Severe = DECLINE

Otherwise CALL CARRIER
DECLINEMust be HIGHLY FUNCTIONING:

If not confined to a wheelchair or requires help with ADLs, =
Preferred Death Benefit.

Otherwise = DECLINE
DECLINEDECLINEDECLINE if cannot
understand application and cannot sign
DECLINEMust be HIGHLY FUNCTIONING:

If not confined to a wheelchair or requires help with ADLs, =
ACCEPT
PHI MAY BE REQUIRED
Otherwise = DECLINE
Must be HIGHLY FUNCTIONING:
able to work at least 30 hours,
recieve no disability, and not
need help with ADL'S
= POSS ACCEPT

Otherwise = DECLINE"

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DECLINE0-17 = DECLINE;

Highly functioning adult-over
18 and over-must be able
to do PHI and work 30 hours
(not disabled) = PREFERRED

All others = DECLINE
If they can answer
questions, do the PHI, and
no disability = ACCEPT;

If they can answer
questions, do the PHI, and
yes to disability =
TERM DELUXE
If they can answer questions,
do the PHI, and no disability

= PREMIER ;

If they can answer questions,
do the PHI, and yes to
disability =
DELUXE
50
Bi-Polar DisorderDECLINEDECLINEACCEPTOver two years = ACCEPT

Suicide attempt EVER = DECLINE
DECLINEDECLINETreated with meds=
ACCEPT

Within 6 months hospitalized for 48
hours or more= DECLINE
CALL CARRIER

Highly Rated
DECLINETreated with meds=
Preferred Death Benefit
;

Within 1 yr hospitalization=
DECLINE
ACCEPT

If hospitalized within 5 yrs ago = DECLINE
Less than one year from diagnosis =DECLINEACCEPTDECLINEOver 4 yrs =ACCEPT

Within 4 years = GRADED
No related disability or hospitalization =
POSS Express Standard NT1

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DECLINEPREFERRED

Hospitalization within a year = STANDARD

0-17 = DECLINE
TERM DELUXE;

Hospitalized 2 or more times
in last 12 months
=DECLINE
DELUXE WL
51
Blood ClotsSingle episode, full recover, no current medication = ACCEPT

2 or more episodes, continuing anticoagulant treatment = DECLINE
Single episode, full recover, no current medication = ACCEPT

2 or more episodes, continuing anticoagulant treatment = DECLINE
Treated with meds=ACCEPT;

Over 3 yrs surgery=ACCEPT
Over two years = ACCEPTSingle episode, full recover, no current medication = ACCEPT

2 or more episodes, continuing anticoagulant treatment = DECLINE
DECLINETreated with meds=
ACCEPT

Within 1 year of surgery=
DECLINE
CALL CARRIERDECLINETreated with meds=
Preferred Death Benefit
;

Within 1 yr surgery=
Basic Death Benefit (graded)
ACCEPTDECLINEWithin the last ten years,
have been diagnosed,
treated or consulted with a
medical professional
= DECLINE

ACCEPT for Cancer policy
ACCEPT
Check medications on drug
exclusion list (some
blood thinners are not
accepted)
ACCEPT
Check medications on drug
exclusion list (some
blood thinners are not
accepted)
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DECLINEPREFERRED

Hospitalization within a year = STANDARD
Over 5 yrs since diagnosis and/or
last treatment ACCEPT
Maintenance ok
Over 2 yrs diagnosis, last
treatment PREMIER
Maintenance ok
52
Brain Tumor-
Non Cancerous
Cancerous over 8 YRS=ACCEPT

MAINT MED = DECLINE

NON CANCER-DO RA WITH
CARRIER
Cancerous over 7 YRS=ACCEPT

MAINT MED = DECLINE

NON CANCER-DO RA WITH
CARRIER
Over 3 YRS = ACCEPT;
and can perrform ADL's

Pending procedur= -ROP
Over two years = ACCEPTCancerous over 8 YRS = ACCEPT

MAINT MED = DECLINE

NON CANCER-DO RA WITH
CARRIER
Benign or malignant =
DECLINE
DECLINECALL CARRIERDECLINEWithin 2 yrs of diagnosis or
any duration of diagnosis if
not removed =
Basic Death Benefit (graded)
DECLINEDECLINEWithin the last ten years,
have been diagnosed,
treated or consulted with a
medical professional
= DECLINE

ACCEPT for heart attack
and stroke policies
ACCEPT

If caused permanent cognitive
impairment req
help w/ADL's
or diability
= DECLINE
ACCEPT
Regular check upsare ok.
If caused permanent cognitive
impairment req
help w/ADL's
or diability
= DECLINE
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DECLINESee CancerOver 5 years = ACCEPTOver 2 years treated= PREMIER
maintenance ok

Over 1 year = EIWL
53
Bronchitis-Chronic Chronic=DECLINE

Acute=ACCEPT
Chronic=DECLINE

Acute=ACCEPT
Chronic=DECLINE

Acute=ACCEPT
Over two years = ACCEPTChronic=DECLINE

Acute=ACCEPT
DECLINEDECLINEChronic=DECLINE

Acute=ACCEPT
Chronic=DECLINE

Acute=ACCEPT
Standard Death BenefitDECLINEDECLINEACCEPTDECLINEGRADEDNo Rating to DeclineIn the last 5 years,
Yes to Asthma, No to hospitaliztion =
SELECT
Yes to Asthma, Yes to hospitaliztion =
DECLINED
STANDARD
With Activity Credit = PREFERRED

See COPD for qualifications for
activity credit
Mild = ACCEPTMild = ACCEPT
54
CancerBasal/squamous= ACCEPT

8 yrs since treatment, no recurrence= ACCEPT

Hodgkin's Disease = DECLINE
Basal/squamous= ACCEPT

7 yrs since treatment, no recurrence
=
ACCEPT

Hodgkin's Disease = DECLINE
Treated over 3 yrs = ACCEPT
Basal cancer= ACCEPT

Multiple occurrences of cancer =
RETURN OF PREMIUM

Recurrences of SAME internal cancer= DECLINE

MAINTENANCE MEDS within 3 years = DECLINE
Over two years = ACCEPT

Multiple occurrences of cancer =
DECLINE

Recurrences of SAME internal cancer= DECLINE

METASTATIC CANCER = DECLINE
Basal/squamous= ACCEPT

8 yrs since treatment, no recurrence
=
ACCEPT

Hodgkin's Disease = DECLINE
Benign or malignant =
DECLINE
Over 2 yrs = ACCEPT;
Basal Cell= ACCEPT

2 or more occurences of same
type of cancer = DECLINE

Multiple occurrences or
recurrences of internal
cancer= DECLINE

Basal Cell =
Preferred Death Benefit

MAINTENANCE MEDS within 2
years = DECLINE
CALL CARRIERWithin 10 YRS = DECLINE;

Basal cell = ACCEPT

Cancer with treatment
completed over 10 years,
with no recurrence, or
recommended treatment
= ACCEPT
If diagnosis or treatment within 3 years = Basic Death Benefit (graded)

Multiple occurrences or
recurrences of internal
cancer= DECLINE
DECLINE

Squamous/Basal = ACCEPT
DECLINE

Contact underwriting before
submitting if a cancer diagnosis or
treatment within the last 12 months, multiple cancer history, or recurrence
Within the last ten years,
have been diagnosed,
treated or consulted with a
medical professional for
cancer =
DECLINE

ACCEPT for heart attack
and stroke
DECLINE

Squamous/Basal = ACCEPT
Over 4 yrs = ACCEPT;
Squamous/Basal Skin Cancer=
ACCEPT

Within 4 years = GRADED
Within 2 years = DECLINE
Metastatic or Recurrent Cancer of same type =DECLINE

MAINTENANCE MEDS within 4 yrs = DECLINE
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Basal Cell-Usually Standard
Less than 10 years (excluding basal and squamous cancers) = DECLINE

Multiple occurrences or
recurrences of internal
cancer= DECLINE
Within two years =DECLINE

Basal Cell = ACCEPT

Metastatic Cancer, recurrent or
multiple cancers =
DECLINE

Over 2 years = STANDARD

0-17 = DECLINE
Over 5 yrs= ACCEPT
Maintenance ok

Multiple occurrences or
recurrences of internal
cancer= DECLINE

MAINTENANCE MEDS = ACCEPT
Over 2 yrs= PREMIER
Maintenance ok

Multiple occurrences or
recurrences of internal
cancer= DECLINE

MAINTENANCE MEDS = ACCEPT
55
CardiomyopathyDECLINEDECLINERETURN OF PREMIUMOver two years = ACCEPTDECLINEDECLINEDECLINECALL CARRIERDECLINEDECLINEDECLINEDECLINEWithin the last ten years,
have been diagnosed,
treated or consulted with a
medical professional for
cancer =
DECLINE

ACCEPT for cancer policy
DECLINEOver 2 yrs =ACCEPT

Within 2 years = GRADED
Present, chronic = DECLINE;

Resolved over 3 yrs =
Table 4 to DECLINE
DECLINEPREFERRED

Hospitalized within 1 year =
STANDARD
PHI-case by case
56
Cerebral PalsyDECLINEDECLINEIf not confined to a wheelchair if mobile, no home health, no adl issues, no cognitive issues
= GRADED.

Otherwise, DECLINE
DECLINEDECLINEIf not confined to a wheelchair or requires help with ADLs, ACCEPT.

Otherwise, DECLINE
CALL CARRIERDECLINEIf not confined to a wheelchair or requires help with ADLs, =
Preferred Death Benefit

Otherwise, DECLINE
DECLINEDECLINEACCEPT
DECLINEAs long as no assistance w/ADLs
or disability = ACCEPT

Otherwise = DECLINE
Table 4 to DECLINEDECLINEDECLINEIf can perform all the
ADL's, sign app, do PHI

= ACCEPT

Disability = DELUXE TERM
If can perform all the
ADL's, sign app, do PHI

= PREMIER

Disability = DELUXE
57
Circulatory Issues/
Surgeries
DECLINEDECLINEDiagnosed or had procedure
over 3 yrs = ACCEPT

Maintenance meds ok;
Procedures within 3 years = DECLINE
Over two years = ACCEPTDECLINEDECLINEOver 1 year = ACCEPTCALL CARRIERSurgery = DECLINEWithin 1 yr – Basic Death Benefit
(graded)

Within 2 yrs= Standard Death
Benefit
DECLINEDECLINEDECLINE for Critical Illness

ACCEPT for heart attack,
stroke and cancer policies
DECLINEOver 2 years = ACCEPT;

Within 2 years = GRADED

Check medication exclusion
list
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DECLINEPREFERRED

Hospitalization within a year = STANDARD

Over 5 yrs diagnosis last
treatment =ACCEPT

Maintenance ok
Over 2 yrs diagnosis, last
treatment= PREMIER

Maintenance ok
58
Cirrhosis of LiverDECLINEDECLINEdiagnosed within 2 yrs= ROP

diagnosed/hospitalized within 3 years = GRADED
Over two years = ACCEPTDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINE for Critical Illness

ACCEPT for heart attack,
stroke and cancer policies
DECLINEDECLINEDECLINEDECLINESTANDARD

Hospitalization within a year = GRADED
DECLINEEIWLGRADED
59
Crohns DiseaseDiagnosed prior to age 20 or in last 12 mos = DECLINE;

all others = check med list
Diagnosed prior to age 20 or in last 12 mos = DECLINE;

all others = check med list
ACCEPTACCEPTDiagnosed prior to age 20 or in last 12 mos = DECLINE;

all others = check med list
DECLINEACCEPTCALL CARRIEROver 5 YEARS in remission=
ACCEPT
Mild to moderate,
intermittent =
Preferred Death Benefit
If diagnosed or hospitalized in
6 last months = DECLINE;
CHECK MEDS
ACCEPTdiagnosed prior to age 20 or in last 12 mos =DECLINE;

All others =check med list
DECLINEEmail NLG Quick Quotes

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ACCEPT-STANDARDPREFERRED

Hospitalization within a year = STANDARD

ACCEPTPREMIER
60
Congestive Heart FailureDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINE until pregnancy
completed

Resolved post pregnancy = ACCEPT
DECLINEDECLINEDECLINEDECLINEWithin the last ten years,
have been diagnosed,
treated or consulted with a
medical professional for
cancer =
DECLINE

ACCEPT for Cancer policy
DECLINEDECLINEDECLINEDECLINEGRADED
With Activity Credit = STANDARD

Hospitalization within a year = DECLINE

See COPD for qualifications for
activity credit

0-17 = DECLINE
DECLINEEIWL
GRADED
61
COPDDECLINEDECLINEMedically diagnosed or
treated within 2 years= ROP

Been medically diagnosed or
treated, or hospitalized for, or
taken medication for within 3 years
= GRADED
Over two years = ACCEPTDECLINEDECLINEDECLINEDECLINEMild ONLY-NO OXYGEN,
NO STEROIDS, non smoker
Questionaire required

SMART UL = DECLINE
Standard Death Benefit

(76-85 IN PERSON WET SIGNATURE
REQUIRED)
DECLINEDECLINEDECLINE for Critical Illness

ACCEPT for heart attack,
stroke and cancer policies
DECLINEGRADEDTable 2 to DECLINEDECLINESTANDARD

Hospitalization within a year = DECLINE

With Activity Credit = PREFERRED

Qualifications for Activity Credit:
Routine activities (3 days/week of more than ten minutes of exercise) as walking the dog, gardening, mowing the yard, or other jobs requiring manual labor.

Activity can also include jogging, running, using an elliptical, rowing machine, stationary bike, lifting
weights, or other common exercises
DECLINEEIWL as long as no Oxygen
62
COVID-19Diagnosis within 90 days = DECLINEDiagnosis within 90 days = DECLINEDiagnosis within 90 days = ROP
Over 90 days since diagnosis =
ACCEPT
Diagnosis within 90 days = DECLINEWithin 90 days Hospitalized or in
facility or used mechanical
breathing aid;

Within 6 months having residual
ongoing respiratory damage;

Within 30 days of unexplained
symptoms;

Within 6 months having blood work
showing COVID-19
antibodies
= DECLINE
Within 90 days Hospitalized or in
facility or used mechanical
breathing aid;

Within 6 months having residual
ongoing respiratory damage;

Within 30 days of unexplained
symptoms;

Within 6 months having blood work
showing COVID-19
antibodies
= DECLINE
Fully recovered and no hospitaliztion
= ACCEPT

Otherwise = CALL CARRIER
Over 60 days from positive test or
Hospitalization for 2 days or less
AND fully recovered = ACCEPT

Hospitalization over 2 days and/or
used mechanical breathing aid =
FULLY UNDERWRITTEN

Oxygen use = DECLINE

Exposed or travelled outside of
US must wait 14 days to apply
Over 90 days of being hospitalized
or in facility = Preferred Death
Benefit


Positive test or diagnosis within 30
days = Basic Death Benefit (graded)

Oxygen use = DECLINE

Exposed or travelled outside of
US must wait 14 days to apply
Six months after full recovery =
ACCEPT
ACCEPTMore than 90 days from positive
test and/or:

More than 90 days since
hospitalization w/o oxygen

Over 30 days from exposure
= ACCEPT

NOTE-
MOO DOES NOT ASK ABOUT
COVID. AS LONG NO OXYGEN
USE = ACCEPT
More than 90 days from positive
test and/or:

More than 90 days since
hospitalization w/o oxygen

Over 30 days from exposure
= ACCEPT

NOTE-
MOO DOES NOT ASK ABOUT
COVID. AS LONG NO OXYGEN
USE = ACCEPT
Not hospitalized, no ventialtor,
fully recovered for 60 days =
ACCEPT

Hospitaized and/or ventiallator
use
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Within last 30 days or under current treatment = DECLINEPREFERRED

Hospitalization within a year = STANDARD

Over 30 days recovered with no
complications = ACCEPT

Hospitalization is on a case by case
basis

Oxygen =
DECLINE
Over 30 days recovered with no
complications = ACCEPT

Hospitalization is on a case by case
basis

Oxygen =
DECLINE
63
CPAP w/No Oxygencombined w/overweight or high blood pressure= DECLINEcombined w/overweight or high blood pressure = DECLINEACCEPTACCEPTcombined w/overweight or high blood pressure = DECLINEACCEPTACCEPTACCEPTACCEPTPreferred Death BenefitACCEPT Sleep apnea – severe and untreated
=DECLINE
ACCEPTCombined w/overweight
or high blood pressure=
DECLINE
ACCEPTWith consistent cpap use=
Possible Standard
In the last 5 years:
If it is being treated = SELECT
If it is not being treated = STANDARD
CPAP/treatment without supplemental oxygen – PREFERREDACCEPTPREMIER
64
CPAP w/OxygenDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINE for Critical Illness

ACCEPT for heart attack,
stroke and cancer policies
DECLINEDECLINEDECLINEDECLINESTANDARDDECLINEGIWL

GIWL REQUIRES VIDEO
CONFERENCING OR IN PERSON APP
GRADED
65
Cystic FibrosisDECLINEDECLINEUnderwriting depends on
complications:
COPD, ETC
DECLINEDECLINEDECLINEDECLINEDECLINEAs long as no oxygen use =
Standard Death Benefit

(76-85 IN PERSON WET SIGNATURE
REQUIRED)
DECLINEDECLINEACCEPTDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEEIWL
66
DefibrillatorDECLINEDECLINEInstalled over 2 years ago =
ACCEPT
Over two years = ACCEPTDECLINEDECLINEDECLINEDECLINEDECLINEImplant within 1 yr =
Basic Death Benefit (graded)

Implant within 2 yrs =
Standard Death Benefit

Same for Pacemakers
DECLINEDECLINEWithin the last ten years,
have been diagnosed,
treated or consulted with a
medical professional =
DECLINE

ACCEPT for Cancer policy
DECLINEOver 2 yrs =ACCEPT

Within 2 years = GRADED
DECLINEDECLINEPREFERRED

Hospitalization within a year = STANDARD

Installed over 5 yrs and as long as
no complications= ACCEPT
Installed over 2 yrs and as long as
no complicationa = PREMIER
67
DepressionAnxiety 1-2 meds= ACCEPT

3+ meds, major
depression = DECLINE
Anxiety 1-2 meds= ACCEPT

3+ meds, major
depression = DECLINE
Attempted suicide over 1 yr =
ACCEPT
As long as no other history of
hospitalization
ACCEPT

Suicide attempt EVER = DECLINE
Anxiety 1-2 meds= ACCEPT

3+ meds, major
depression = DECLINE
Mild = ACCEPT;

Chronic, Major Depression=
DECLINE
Treated with meds=
ACCEPT

>6 months hospitalized for 48
hours or more= DECLINE
Anxiety 1-2 meds= STANDARD

3+ meds, major
depression = DECLINE
MILD within 25 ; Onset over 1 year:
no hospitalization, time off work
= ACCEPT

Severe= DECLINE
Treated with meds=
Preferred Death Benefit
;

Within 1 yr hospitalization=
DECLINE
ACCEPT Check Meds

If hospitalized within 10 yrs ago =
DECLINE
Depressive disorder — severe = DECLINE

ACCEPTHopitalized within 10 yrs =
DECLINE

Otherwise = ACCEPT
Controlled w/med = ACCEPT

Hospitalization within 2 years= DECLINE
No Rating to DECLINEMajor depression requiring 3 or more meds, or that led to loss of work witihin last 5 years = DECLINEPREFERRED

Hospitalization within a year = STANDARD

ACCEPT;

Hospitalized 2 or more times
in last 12 months =
DECLINE
PREMIER
68
DementiaDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINE for Critical Illness

ACCEPT for heart attack
and cancer policies
DECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEGRADED
69
Diabetes Diagnosed over 35 = ACCEPT

Diagnosed under 35 = DECLINE

Insulin = DECLINE

Oral med 35+ = ACCEPT

A1C over 8.5 = DECLINE
Diagnosed over 35 = ACCEPT

Diagnosed under 35= DECLINE

Insulin = DECLINE

Oral med 35+ = ACCEPT

A1C over 8.5 = DECLINE
Diagnosed over 35 = ACCEPT

Start insulin over 50 = ACCEPT
Start insulin under 50 = ROP
Complications = DECLINE

Insulin shock/diabetic coma treatment = DECLINE
Diagnosed over 35 = ACCEPT

Diagnosed under 35= DECLINE

Insulin = DECLINE

Oral med 35+ = ACCEPT

A1C over 8.5 = DECLINE
Diagnosed over 35 = ACCEPT

Taking 3 or more meds = DECLINE

Diagnosed under 35,
Insulin Use, complications,
OR combined with smoking
and High Blood Pressure =
DECLINE
ACCEPTCALL CARRIERTYPE 2
Current age 20-29, duration since
diagnosis within 5 yrs

Current age 30+ any duration
since diagnosis

Oral medication or diet; and
good control;
and
non-smoker or less than 1 pack/day = ACCEPT
Preferred Death Benefit;
no age minimum for diagnosis
Diagnosed over 40 = ACCEPT;

Insulin= ACCEPT
Diabetes with significant
complications or A1C >10.0 =
DECLINE
Type 1, Type II:
Diagnosed under age of 30,
= DECLINE

If A1C greater than 7.0 within
the last 12 months, or with
tobacco use = DECLINE
BELOW Table 2 BUILD

Before 45 = DECLINE
After 45 w/Pills = ACCEPT
After 45 w/Insulin = ACCEPT
Complications = DECLINE

DOES NOT ASK ABOUT A1C
After 45 w/Pills = ACCEPT
After 45 w/Insulin = ACCEPT

Before 45 = GRADED
Complications = GRADED
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Requiring insulin
OR age nearest less than 40
OR age nearest 40+ with A1C greater
than 7 =
DECLINE
STANDARD

Hospitalization within a year = GRADED

0-17 = DECLINE
Pills = ACCEPT
Insulin =DELUXE TERM
Pills= PREMIER

Insulin =DELUXE
70
Diabetes-GestationalDECLINE until pregnancy
completed
DECLINE until pregnancy
completed
NAN/ADECLINE until pregnancy
completed
DECLINE until pregnancy completedNADECLINE until pregnancy
completed

Resolved post pregnancy = ACCEPT
DECLINE until pregnancy completedN/ADECLINE until pregnancy completedDECLINE until pregnancy completedACCEPTDECLINE until pregnancy completedN/ADECLINE until pregnancy completedRequiring insulin
OR age nearest less than 40
OR age nearest 40+ with A1C greater
than 7 =
DECLINE
DECLINE until pregnancy completedDECLINE until pregnancy completedDECLINE until pregnancy completed
71
Diabetes-GoutDECLINEDECLINEACCEPTACCEPTDECLINEACCEPTACCEPTCALL CARRIERACCEPTPreferred Death BenefitACCEPTSee DiabetesDECLINEDECLINENo Rating Requiring insulin
OR age nearest less than 40
OR age nearest 40+ with A1C greater
than 7 =
DECLINE
STANDARD

Hospitalization within a year = GRADED

0-17 = DECLINE
ACCEPTPREMIER
72
Diabetes-InsulinDECLINEDECLINEOver 50 = ACCEPT

Insulin before 50 = RETURN OF
PREMIUM
Over 50 = ACCEPT

Before 50 = DECLINE
DECLINEDECLINEInsulin w/ NO COMPLICATIONS = ACCEPTCALL CARRIER

Mostly declines
Current age 40-59, duration
since diagnosis less than 5 years

Current age 60+, duration
since diagnosis under 25 years

Good control; and
non smoker or less than 1 pack/day
=ACCEPT

SMART UL = DECLINE; FULLY
UNDERWRITTEN = OK
Preferred Death BenefitDiagnosed over 40 = ACCEPT;

Insulin= ACCEPT
See DiabetesDiagnosis and insulin

Over 45 =
APPROVE
Under 45 = DECLINE
After 45 w/Insulin= ACCEPTEmail NLG Quick Quotes

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DECLINESTANDARD

Hospitalization within a year = GRADED

0-17 = DECLINE
DELUXE TERMDELUXE
73
Diabetic NeuropathyNo history of gout, a1c is less than 8.5, diabetes was
diagnosed after age 35, no
other complications, no
tobacco x 12 months, no
medication changes or er
visits x 12 months, and is
working full time =ACCEPT
No history of gout, a1c is less than 8.5, diabetes was
diagnosed after age 35, no
other complications, no
tobacco x 12 months, no
medication changes or er
visits x 12 months, and is
working full time =ACCEPT
RETURN OF PREMIUMDECLINENo history of gout, a1c is less than 8.5, diabetes was
diagnosed after age 35, no
other complications, no
tobacco x 12 months, no
medication changes or er
visits x 12 months, and is
working full time =ACCEPT
DECLINEDECLINEDECLINEDECLINEBasic Death Benefit (graded)

(76-85 IN PERSON WET SIGNATURE
REQUIRED)
DECLINEDECLINESee DiabetesDECLINEAny diabetes complications
= GRADED
DECLINEDECLINEACCEPT

0-17 = DECLINE
DECLINEGIWL

GIWL REQUIRES VIDEO
CONFERENCING OR IN PERSON APP
74
Diabetic RetinopathyDECLINEDECLINERETURN OF PREMIUMDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEBasic Death Benefit (graded)

(76-85 IN PERSON WET SIGNATURE
REQUIRED)
DECLINEDECLINESee DiabetesDECLINEAny diabetes complications
= GRADED
DECLINEDECLINEACCEPT

0-17 = DECLINE
DECLINEGIWL

GIWL REQUIRES VIDEO
CONFERENCING OR IN PERSON APP
75
Diabetes w/SmokingDECLINEDECLINEACCEPTACCEPTDECLINESmoking, High Blood Pressure,
AND Diabetes = DECLINE
ACCEPTCALL CARRIERLess than 1 pack/day = ACCEPTACCEPTDECLINESee DiabetesDECLINEACCEPTDECLINEDECLINESTANDARD

Hospitalization within a year = GRADED

0-17 = DECLINE
ACCEPTPREMIER
76
GabapentinACCEPT

Used for grand mal seizures = DECLINE

DECLINE FOR DIABETES
ACCEPT

Used for grand mal seizures = DECLINE

DECLINE FOR DIABETES
ACCEPT

Used for grand mal seizures =DECLINE

DECLINE FOR DIABETES
ACCEPT

DECLINE FOR DIABETES
ACCEPT

Used for grand mal seizures = DECLINE

DECLINE FOR DIABETES
ACCEPT

DECLINE FOR DIABETES
ACCEPT

DECLINE FOR DIABETES
CALL CARRIERACCEPT

DECLINE FOR DIABETES
Seizures-
Preferred Death Benefit

Nueropathy-
Basic Death Benefit (graded)

ACCEPT

DECLINE FOR DIABETES
DECLINE

DECLINE FOR DIABETES
ACCEPTACCEPT- as long as no history of diabetes or diabetic meds

DECLINE FOR DIABETES
ACCEPT- as long as no history of diabetes or diabetic meds

DECLINE FOR DIABETES
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DECLINE

DECLINE FOR DIABETES
PREFERRED

Hospitalization within a year = STANDARD

OK FOR DIABETES
ACCEPT

DECLINE FOR DIABETES
ACCEPT

DECLINE FOR DIABETES
77
Down's SyndromeDECLINEDECLINEMild -
Must have mental
compacity to understand
application,ability to answer
questions= ACCEPT

Otherwise DECLINE
DECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINE if cannot sign nor
understnd the application
DECLINEDECLINEDECLINEDECLINEDECLINEIf they can answer
questions, do the PHI, print and sign ther name, and
no disability = ACCEPT;

If they can answer
questions, do the PHI, and
yes to disability =
TERM DELUXE
If they can answer
questions, do the PHI, print and sign ther name, and
no disability = PREMIER;

If they can answer
questions, do the PHI, and
yes to disability =
DELUXE
78
DiverticulitisAcute with full recovery-
ACCEPT
Acute with full recovery-
ACCEPT
ACCEPTACCEPTAcute with full recovery-
ACCEPT
ACCEPTACCEPTCALL CARRIERAcute with full recovery-
ACCEPT
Mild to moderate,
intermittent =
Preferred Death Benefit
ACCEPTACCEPTACCEPT-
no DI Rider
ACCEPTNo Rating to Moderate
Rating
ACCEPTPREFERRED

Hospitalization within a year = STANDARD

ACCEPT-as long as no
disability
PREMIER-as long as no
disability
79
EmphysemaDECLINEDECLINENo treatment = ACCEPTOver two years = ACCEPTDECLINEDECLINEDECLINEDECLINEDECLINEStandard Death Benefit

(76-85 IN PERSON WET SIGNATURE
REQUIRED)
DECLINEDECLINEDECLINE for Critical Illness

ACCEPT for heart attack
and cancer policies
DECLINEGRADEDTable 4 to DECLINEDECLINESTANDARD
With Activity Credit = PREFERRED

See COPD for qualifications for activity credit
DECLINEDECLINE
80
EndometriosisNon Cancerous = ACCEPTNon Cancerous = ACCEPTACCEPTACCEPTNon Cancerous = ACCEPTNon Cancerous = ACCEPTNon Cancerous = ACCEPTNon Cancerous, no complications =
STANDARD
Non Cancerous = ACCEPTNon Cancerous =
Preferred Death Benefit
Non Cancerous = ACCEPTACCEPTNon Cancerous = ACCEPTNon Cancerous = ACCEPTEmail NLG Quick Quotes

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Non Cancerous = ACCEPTPREFERRED

Hospitalization within a year = STANDARD

ACCEPTACCEPT
81
EpilepsyPetit mal = ACCEPT

All others= DECLINE
Petit mal = ACCEPT

All others= DECLINE
If no seizures for three years and no meds =APPROVED

Meds and seizures within 3 years = GRADED
Petit mal = ACCEPT

All others= DECLINE
Grand mal/PETIT MAL
within 6 months DECLINE-

Over 6 months CALL CARRIER
Treated with meds=
ACCEPT

Within 6 months hospitalized for 48
hours or more= DECLINE
CALL CARRIERControlled on meds, no seizures within two years and no complications = ACCEPTTreated with meds=
Preferred Death Benefit
;

Within 1 yr hospitalization=
DECLINE
DECLINEDECLINE for Critical Illness

ACCEPT for heart attack
and cancer policies
DECLINEDECLINEEpilepsy, petit mal - no attack
in one year = No Rating

Epilepsy, grand mal/others -
no attack over 1 yr =
No Rating to Moderate Rating
Diagnosed or treated within last 5 years = DECLINEPREFERRED

Hospitalization within a year = STANDARD

CHECK MEDS
Controlled, no seizures over 5 yrs
= ACCEPT
Controlled, no seizures over 2 yrs
= PREMIER
82
Erectile DysfunctionACCEPTACCEPTACCEPTACCEPTACCEPTACCEPTACCEPTACCEPTACCEPTPreferred Death BenefitACCEPTACCEPTDECLINEACCEPTNo RatingACCEPTPREFERREDACCEPTPREMIER
83
FibromyalgiaACCEPT, check medsACCEPT check medsACCEPTACCEPTACCEPT check medsDECLINEACCEPTCALL CARRIERNo depression, working
full-time
= ACCEPT
Preferred Death BenefitACCEPT check medsACCEPTACCEPT-check medsACCEPT- check medsNo Rating to Moderate RatingACCEPTPREFERREDACCEPTPREMIER
84
Gallbladder DisorderACCEPT, check medsACCEPT, check medsACCEPTACCEPTACCEPT, check medsACCEPTACCEPTCALL CARRIER>1 yr; weight stabilized=
ACCEPT
Preferred Death BenefitACCEPTACCEPTACCEPT, check medsACCEPT, check medsNo RatingACCEPTPREFERRED
Hospitalization within a year = STANDARD
ACCEPT-non cancerousPREMIER-non cancerous
85
Gastric Bypass Over 1yr = ACCEPT Over 1yr = ACCEPTACCEPTACCEPT Over 1yr = ACCEPTOver 6 MONTHS = ACCEPTACCEPTCALL CARRIER

Must be over six months after
surgery
ACCEPTOver 12 months=
Preferred Death Benefit
ACCEPTGastric bypass – less than six months
=DECLINE
ACCEPTOver 1 yr = ACCEPTACCEPTEmail NLG Quick Quotes

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Procedure within 6 months = DECLINEPREFERRED
Hospitalization within a year = STANDARD
ACCEPTPREMIER
86
GoutACCEPT

Combined w/diabetes, kidney stones, or protein in urine = DECLINE
ACCEPT

Combined w/diabetes, kidney stones, or protein in urine = DECLINE
ACCEPTACCEPTACCEPT

Combined w/diabetes, kidney stones, or protein in urine = DECLINE
ACCEPTACCEPTACCEPTACCEPTPreferred Death BenefitACCEPTACCEPTACCEPTACCEPT;
No DI Rider
Combined w/diabetes, kidney stones, or protein in urine=DECLINENo RatingACCEPTPREFERRED
Hospitalization within a year = STANDARD
ACCEPTPREMIER
87
Heart Attack/
Heart Disease
DECLINEDECLINETreatment within 2yrs= ROP

Treatment within 3 yrs =GRADED
Over 2 years = ACCEPTDECLINEDECLINEOver 1 year = ACCEPT with no other complicationsCALL CARRIERDECLINEWithin 1 yr = Basic Death Benefit
(graded)

Within 2 yrs = Standard Death
Benefit

Heart mucle disease =
DECLINE
DECLINELess than six months =DECLINEWithin the last ten years,
have been diagnosed,
treated or consulted with
a medical professional
= DECLINE

ACCEPT for Cancer policy
DECLINEOver 2 yrs =ACCEPT

Within 2 years = GRADED
No Rating to DECLINEDECLINESTANDARD
Hospitalization within a year = GRADED

With Activity Credit = PREFERRED

Qualifications for Activity Credit:
Routine activities (3 days/week of
more than ten consecutive minutes of exercise)

Activity can also include jogging, running, using an elliptical, rowing machine, stationary bike, lifting
weights, or other common exercises
Over5 yrs=ACCEPT,
maintenance ok
Over 2 years treated= PREMIER
maintenance ok

Over 1 year = EIWL

Blood thinner = GRADED
88
Heart -
Mitral Valve Insufficiency/
Prolapse
DECLINEDECLINEOver 3 years from procedure
= ACCEPT (see heart surgery)
Over 2 years = ACCEPTDECLINENo meds-Possible
Accept-CALL CARRIER
Over 1 year = ACCEPTCALL CARRIERAny heart valve disease or
surgery =
DECLINE
DECLINEDECLINEDECLINEWithin the last ten years,
have been diagnosed,
treated or consulted with
a medical professional
= DECLINE

ACCEPT for Cancer policy
DECLINEOver 2 yrs =ACCEPT

Within 2 years = GRADED
No Rating to DECLINEDECLINEPREFERRED
Hospitalization within a year = STANDARD
DECLINEEIWL
89
Heart Surgeries
(Bypass, etc)
DECLINEDECLINEOver 3 yrs = ACCEPTOver 2 years = ACCEPTDECLINEDECLINEOver 1 YR = ACCEPTCALL CARRIERDECLINEWithin 1 yr – Basic Death Benefit
(graded)

Within 2 yrs= Standard Death
Benefit
DECLINEDECLINEWithin the last ten years,
have been diagnosed,
treated or consulted with
a medical professional
= DECLINE

ACCEPT for Cancer policy
DECLINEOver 2 yrs =ACCEPT

Within 2 years = GRADED
No Rating to DECLINEDECLINEPREFERRED

Hospitalization within a year = STANDARD
Over 5 yrs = ACCEPT,
maintenance ok
Over 2 years treated= PREMIER
maintenance ok

Over 1 year = EIWL

Blood thinner = GRADED
90
HepatitisDECLINEDECLINEOver 3 years = ACCEPT

Diagnosed within 2 yrs= ROP

Diagnosed/hospitalized within 3 years = GRADED
Over 2 years = ACCEPTDECLINEHEP A (recovered) = ACCEPT
HEP B + C = DECLINE
HEP A (recovered) = ACCEPT
HEP B + C = DECLINE

Chronic or alcoholic hepatitis=
DECLINE
CALL CARRIERHEP A (recovered) = ACCEPT

HEP B + C = DECLINE
Hep B or C=
Standard Death Benefit
DECLINEDECLINEDECLINEDECLINEDECLINE

Hep C = GRADED
Hepatitis, chronic
Hep. B (treated and
resolved) =
Table 4 to Decline

Hep. C (treated and resolved)
Table 4 to Decline
Acute Hep A = ACCEPT
CHRONIC, HEP B = DECLINE
STANDARD
Hospitalization within a year = GRADED
DECLINEEIWL
91
High Blood PressureUp to 2 meds= ACCEPT

3+ meds = DECLINE

Diuretic = DECLINE

Mild diuretic = CALL CARRIER
Up to 2 meds= ACCEPT

3+ meds = DECLINE

Diuretic = DECLINE

Mild diuretic = CALL CARRIER
ACCEPTACCEPTUp to 2 meds= ACCEPT

3+ meds = DECLINE

Diuretic = DECLINE

Mild diuretic = CALL CARRIER
Diagnosed under 30 yrs old,
Takes 4 or more meds, OR
takes Furosemide (DIURETIC)
and Carvedilol = DECLINE
ACCEPTControlled with meds = STANDARD

Otherwise CALL CARRIER

Diuretic = DECLINE
1-2 meds, Controlled = ACCEPT

3+ depends on combination-
see Agent Guide

2-3 meds = DO HBP QUESTIONNAIRE

Diuretic = DECLINE

Mild diuretic = CALL CARRIER
Preferred Death BenefitCheck meds.

Multilple medications are ok

Diuretic = DECLINE
Uncontrolled hypertension =
DECLINE
As long as it is controlled =
ACCEPT

Blood thinner = DECLINE
Will accept 3+ meds w/o
multiple impairments +
table 2 or higher build;
HBP med AND diuretic =
DECLINE

Check prescription exclusion
list
Hospitalization within 5 yrs =
DECLINE
If client takes heavy duty meds,
do a Risk Assessment
ACCEPT

HBP med AND diuretic =
DECLINE
No Rating-well controlled

Diuretic = DECLINE
3 or more meds = DECLINE

Diuretic = DECLINE
PREFERRED

Hospitalization within a year = STANDARD

ACCEPT

Diuretic = DECLINE

Mild diuretic = CALL CARRIER
ACCEPT

Blood thinner = GRADED
92
HIVDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEGRADED
93
HIV PREPDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEGRADED
94
HospitalizationWithin 12 months or current
= DECLINE
Within 12 months or current =
DECLINE
Current = DECLINECURRENT = DECLINEWithin 12 months or current =
DECLINE
Current = DECLINECurrent = DECLINECurrent = DECLINECurrent = DECLINECurrent = DECLINECurrent = DECLINECurrent = DECLINEACCEPT

Within the last ten years =
DECLINE for ICU rider
Current = DECLINECurrent = DECLINEWithin five years, Email NLG Quick
Quotes

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Within the last 12 months = DECLINE

Surgery within 2 years = DECLINE
Within the last 12 months with exception for pregnancy = STANDARDCurrent = DECLINE

Hospitalized 2 or more times within
12 months =
DECLINE
Current = DECLINE

Hospitalized 2 or more times within
12 months =
GIWL

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GRADED
95
Huntington's DiseaseDECLINEDECLINEACCEPT-
Must have mental capacity

If mentally impaired=
DECLINE
ACCEPT-
Must have mental capacity

If mentally impaired=
DECLINE
DECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINE for Critical Illness

ACCEPT for heart attack,
stroke and cancer policies
DECLINEDECLINEEmail NLG Quick Quotes

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DECLINEDECLINEAs long as they can answer no
to all the questions =
POSSIBLE ACCEPT;
May request Medical Records
As long as they can answer no
to all the questions =
POSSIBLE ACCEPT;
May request Medical Records
96
HypothyroidismACCEPT, check medsACCEPT, check medsACCEPTACCEPTACCEPT, check medsACCEPTACCEPTACCEPTACCEPTPreferred Death BenefitACCEPTACCEPTACCEPTACCEPT; check medsACCEPT; check medsNo RatingACCEPTPREFERRED

Hospitalization within a year = STANDARD

ACCEPTPREMIER
97
Kidney DialysisDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINE for Critical Illness

ACCEPT for heart attack,
stroke and cancer policies
DECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEGRADED
98
Kidney Disease-ChronicDECLINEDECLINERETURN OF PREMIUMDECLINEDECLINEDECLINEDECLINEDECLINEDECLINE;

Acute infections = ACCEPT
Disease/Renal insufficiency =
Standard Death Benefit
DECLINEDECLINEDECLINE for Critical Illness

ACCEPT for heart attack,
stroke and cancer policies
DECLINEOver 4 yrs as long as not end stage
renal failure = ACCEPT

Within 4 years = GRADED
DECLINEDECLINESTANDARD

Hospitalization within a year = GRADED
DECLINEEIWLGRADED
99
Kidney FailureDECLINEDECLINERETURN OF PREMIUMDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINEDECLINE for Critical Illness

ACCEPT for heart attack,
stroke and cancer policies
DECLINEDECLINEDECLINEDECLINEDECLINEGIWLGIWL

GIWL REQUIRES VIDEO
CONFERENCING OR IN PERSON APP
GRADED
100
Kidney StonesACCEPTACCEPTACCEPTACCEPTACCEPTACCEPTACCEPTACCEPTACCEPTPreferred Death BenefitACCEPTACCEPTACCEPTACCEPTACCEPTACCEPTACCEPTPREFERRED

Hospitalization within a year =STANDARD

ACCEPTPREMIER