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Term Life (ages 18-64)
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Guaranteed Issue Term Life (ages 45-75)
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Presented and Administered
by Selman & Company
Guaranteed Issue Term Life
:: Quote
We only ask questions that are necessary to provide an accurate quote. The quote you will receive is based on your attained age at time of quote.
NOTE: Members and spouses ages 45-75 are eligible.
State you permanently reside in
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho (Not Available)
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana (Not Available)
Maine
Maryland
Massachusetts
Michigan
Minnesota (Not Available)
Mississippi
Missouri
Montana (Not Available)
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York (Not Available)
North Carolina
North Dakota
Ohio
Oklahoma
Oregon (Not Available)
Pennsylvania
Puerto Rico (Not Available)
Rhode Island
South Carolina
South Dakota (Not Available)
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Coverage Type
Member Only
Member & Spouse
Member Information
Date of Birth
January
February
March
April
May
June
July
August
September
October
November
December
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31
Gender
Male
Female
Amount of Coverage
$10,000
$15,000
$25,000
Spouse Information
Date of Birth
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
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10
11
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14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Gender
Male
Female
Amount of Coverage
$10,000
$15,000
$25,000
Guaranteed Issue Group Term Life Insurance
Underwritten by Monumental Life Insurance Company, Cedar Rapids, IA, an AEGON company
Sponsored by Kenowa Community Federal Credit Union
Form Number TL1050GEM
NAIC # 66281
Presented and Administered by Selman & Company
6110 Parkland Boulevard
Cleveland, OH 44124
877-665-7563 - Phone
440-646-9339 - Facsimile
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0810 WS-CU
18382116
