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Proposed Insured's Information
Date of Birth
Gender
-Gender-
Male
Female
Resident State
- Select your State -
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Has the proposed insured smoked cigarettes in the past 12 months?
Yes
No
Has the proposed insured used tobacco or nicotine of any kind, other than cigarettes, in any form, in the last 12 months?
Yes
No
Select Your Coverage
Product Applied For
-Select One-
10 Year
20 Year
Base Face Amount
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Base Face Amount
For adults up to age 65, the benefit amount ranges from $50,000 up to $5,000,000
-Select Amount-
Enter Specific Amount
$250,001
$275,000
$300,000
$325,000
$350,000
$375,000
$400,000
$425,000
$450,000
$475,000
$500,000
$525,000
$550,000
$575,000
$600,000
$625,000
$650,000
$675,000
$700,000
$725,000
$750,000
$775,000
$800,000
$825,000
$850,000
$875,000
$900,000
$925,000
$950,000
$975,000
$1,000,000
$1,025,000
$1,050,000
$1,075,000
$1,100,000
$1,125,000
$1,150,000
$1,175,000
$1,200,000
$1,225,000
$1,250,000
$1,275,000
$1,300,000
$1,325,000
$1,350,000
$1,375,000
$1,400,000
$1,425,000
$1,450,000
$1,475,000
$1,500,000
$1,525,000
$1,550,000
$1,575,000
$1,600,000
$1,625,000
$1,650,000
$1,675,000
$1,700,000
$1,725,000
$1,750,000
$1,775,000
$1,800,000
$1,825,000
$1,850,000
$1,875,000
$1,900,000
$1,925,000
$1,950,000
$1,975,000
$2,000,000
$2,025,000
$2,050,000
$2,075,000
$2,100,000
$2,125,000
$2,150,000
$2,175,000
$2,200,000
$2,225,000
$2,250,000
$2,275,000
$2,300,000
$2,325,000
$2,350,000
$2,375,000
$2,400,000
$2,425,000
$2,450,000
$2,475,000
$2,500,000
$2,525,000
$2,550,000
$2,575,000
$2,600,000
$2,625,000
$2,650,000
$2,675,000
$2,700,000
$2,725,000
$2,750,000
$2,775,000
$2,800,000
$2,825,000
$2,850,000
$2,875,000
$2,900,000
$2,925,000
$2,950,000
$2,975,000
$3,000,000
$3,025,000
$3,050,000
$3,075,000
$3,100,000
$3,125,000
$3,150,000
$3,175,000
$3,200,000
$3,225,000
$3,250,000
$3,275,000
$3,300,000
$3,325,000
$3,350,000
$3,375,000
$3,400,000
$3,425,000
$3,450,000
$3,475,000
$3,500,000
$3,525,000
$3,550,000
$3,575,000
$3,600,000
$3,625,000
$3,650,000
$3,675,000
$3,700,000
$3,725,000
$3,750,000
$3,775,000
$3,800,000
$3,825,000
$3,850,000
$3,875,000
$3,900,000
$3,925,000
$3,950,000
$3,975,000
$4,000,000
$4,025,000
$4,050,000
$4,075,000
$4,100,000
$4,125,000
$4,150,000
$4,175,000
$4,200,000
$4,225,000
$4,250,000
$4,275,000
$4,300,000
$4,325,000
$4,350,000
$4,375,000
$4,400,000
$4,425,000
$4,450,000
$4,475,000
$4,500,000
$4,525,000
$4,550,000
$4,575,000
$4,600,000
$4,625,000
$4,650,000
$4,675,000
$4,700,000
$4,725,000
$4,750,000
$4,775,000
$4,800,000
$4,825,000
$4,850,000
$4,875,000
$4,900,000
$4,925,000
$4,950,000
$4,975,000
$5,000,000
-Select Amount-
Enter Specific Amount
$50,000
$75,000
$100,000
$125,000
$150,000
$175,000
$200,000
$225,000
$250,000
$275,000
$300,000
$325,000
$350,000
$375,000
$400,000
$425,000
$450,000
$475,000
$500,000
$525,000
$550,000
$575,000
$600,000
$625,000
$650,000
$675,000
$700,000
$725,000
$750,000
$775,000
$800,000
$825,000
$850,000
$875,000
$900,000
$925,000
$950,000
$975,000
$1,000,000
$1,025,000
$1,050,000
$1,075,000
$1,100,000
$1,125,000
$1,150,000
$1,175,000
$1,200,000
$1,225,000
$1,250,000
$1,275,000
$1,300,000
$1,325,000
$1,350,000
$1,375,000
$1,400,000
$1,425,000
$1,450,000
$1,475,000
$1,500,000
$1,525,000
$1,550,000
$1,575,000
$1,600,000
$1,625,000
$1,650,000
$1,675,000
$1,700,000
$1,725,000
$1,750,000
$1,775,000
$1,800,000
$1,825,000
$1,850,000
$1,875,000
$1,900,000
$1,925,000
$1,950,000
$1,975,000
$2,000,000
$2,025,000
$2,050,000
$2,075,000
$2,100,000
$2,125,000
$2,150,000
$2,175,000
$2,200,000
$2,225,000
$2,250,000
$2,275,000
$2,300,000
$2,325,000
$2,350,000
$2,375,000
$2,400,000
$2,425,000
$2,450,000
$2,475,000
$2,500,000
$2,525,000
$2,550,000
$2,575,000
$2,600,000
$2,625,000
$2,650,000
$2,675,000
$2,700,000
$2,725,000
$2,750,000
$2,775,000
$2,800,000
$2,825,000
$2,850,000
$2,875,000
$2,900,000
$2,925,000
$2,950,000
$2,975,000
$3,000,000
$3,025,000
$3,050,000
$3,075,000
$3,100,000
$3,125,000
$3,150,000
$3,175,000
$3,200,000
$3,225,000
$3,250,000
$3,275,000
$3,300,000
$3,325,000
$3,350,000
$3,375,000
$3,400,000
$3,425,000
$3,450,000
$3,475,000
$3,500,000
$3,525,000
$3,550,000
$3,575,000
$3,600,000
$3,625,000
$3,650,000
$3,675,000
$3,700,000
$3,725,000
$3,750,000
$3,775,000
$3,800,000
$3,825,000
$3,850,000
$3,875,000
$3,900,000
$3,925,000
$3,950,000
$3,975,000
$4,000,000
$4,025,000
$4,050,000
$4,075,000
$4,100,000
$4,125,000
$4,150,000
$4,175,000
$4,200,000
$4,225,000
$4,250,000
$4,275,000
$4,300,000
$4,325,000
$4,350,000
$4,375,000
$4,400,000
$4,425,000
$4,450,000
$4,475,000
$4,500,000
$4,525,000
$4,550,000
$4,575,000
$4,600,000
$4,625,000
$4,650,000
$4,675,000
$4,700,000
$4,725,000
$4,750,000
$4,775,000
$4,800,000
$4,825,000
$4,850,000
$4,875,000
$4,900,000
$4,925,000
$4,950,000
$4,975,000
$5,000,000
Custom Value:
Additional Features
The following feature is automatically included with your policy at no additional cost to you, unless you select otherwise:
Accelerated Death Benefit for Terminal Illness Agreement
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Accelerated Death Benefit for Terminal Illness Agreement
The Accelerated Death Benefit for Terminal Illness Agreement gives the insured access to a portion of the death benefit with the diagnosis of a terminal illness. There is no charge for this agreement.
The following feature is optional with your policy at an additional cost. if selected, the cost will be included in your quote.
Waiver of Premium Agreement
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Waiver of Premium Agreement
The Waiver of Premium Agreement (WPA) provides for the payment of a monthly premium during a period of total and permanent disability of the base insured. Policy issue ages: 0 - 55. Agreement terminates on anniversary nearest the insured's age 60.
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Carrier
Issued by Securian Life Insurance Company.
Financial Ratings:
http://www.securian.com/ratings
http://www.securian.com
Product
Year Term Life Insurance
Provides small business owners with low-cost protection for their business and loved ones. This product can be used as collateral for a small business loan and offers guaranteed death benefit protection for a specific period of time.
Click Here for Detailed Product Information
Death Benefit
Total Premium
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Premium
Your premium is based on your approved underwriting health class. Displayed here on your quote results are the best and worst case possible rates. After underwriting is complete, you will be notified of your approved health class and corresponding premium for your policy.
Based On Underwriting
Best Premium Available
(Preferred Health Class)
/ Month
Standard Premium
(Standard Health Class)
/ Month
Standard Premium
(Standard Health Class)
/ Month
Advantage Elite Select is not available in New York.
Insurance products are issued by Minnesota Life Insurance Company or Securian Life Insurance Company, a New York authorized insurer. Minnesota Life is not an authorized New York insurer and does not do insurance business in New York. Both companies are headquartered in Saint Paul, MN. Product availability and features may vary by state. Each insurer is solely responsible for the financial obligations under the policies or contracts it issues. 400 Robert Street North, St. Paul, MN 55101-2098.
Not FDIC/NCUA Insured; Not Bank Or Credit Union Guaranteed; Not A Deposit; Not Insured By Any Federal Government Agency.
Consent
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By starting your application you have reviewed our privacy policy and have read and understand our privacy policy and agree to its terms and conditions.
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