Life Insurance Questionnaire

In case of death (natural or accidental the underwriter will pay immediately 100% he sum assured to the listed beneficiaries.
This is the amount you are comfortable in paying depending on your personal evaluation of your income and expense level for a period of 10 or 15 years.
The listed critical illnesses are: Accidental brain damage, Alzheimer's disease, Aorta surgery, blindness, cancer, coma, coronary artery surgery, heart attack, major organ transplant, motor neuron disease, multiple sclerosis, muscular dystrophy, paraplegia/ paralysis, Parkinson's disease, renal failure, replacement of heart valve, rheumatoid arthritis before the age of 60 and stroke. The waiting period will be waived upon confirmation of good health, following assessment of the submitted medical report and the outcome of the underwriting decision Premium payment for critical illness will stop at the earlier of the premium payment term or the attainment of age 65