Free Policy Estimate "*" indicates required fields Step 1 of 18 5% This field is hidden when viewing the formProgressName*Phone*Email* Consent* I agree to the terms & conditions and privacy policy.*This field is hidden when viewing the formEmbed URLThis field is hidden when viewing the formlanderThis field is hidden when viewing the formreferrerThis field is hidden when viewing the formSalesRepusNoam S. WeissStavros PapadopoulosJeffrey GoldfineBill MountainMichael WolterGarett LipnickyMyles AndrewsJackson Tylman Internal Policy Analysis Extended Valuation What is the face value of your policy?* How do you pay your premiums?* One-time payment sometime in the past Monthly Quarterly Annually I don’t know What was your premium?*What are your premiums? (Monthly)*What are your premiums? (Quarterly)*What are your premiums? (Annually)*This field is hidden when viewing the formAnnual Premiums*This field is hidden when viewing the formPercentage if user doesn't know their premiums What type of policy do you have?*Select...TermUniversal lifeWhole lifeGroupVariableSecond to die survivorshipSurvivorship with one deceasedWho is the life insurance carrier?* Does your policy have any cash surrender value?* Yes No What is your policy's cash surrender value?*Does your policy currently have a loan against it?* Yes No What is the loan amount?* Do we have a 3rd party LE to calculate with?* Yes No What is the 3rd party LE? What is the gender of the insured?* Male Female Do you know the insured's birthdate?* Yes No What is the insured's birthdate?* MM slash DD slash YYYY What is the age of the insured?*This field is hidden when viewing the formCalculated AgeThis field is hidden when viewing the formNormal Health Fudge FactorThis field is hidden when viewing the formLife ExpectancyWould you like to skip weight and height questions? You can make this valuation more accurate by including those answers.* Yes No Weight (pounds)Height (inches)This field is hidden when viewing the formBMI Have you used tobacco in the last 12 months?* Yes No How is your health compared to your peers?Please selectAbove averageAverageSlightly below averageWell below averageTerminalDo you have any of these significant health conditions? Cancer Stroke Cognitive Disorders Chronic Kidney Disease Heart Disease Autoimmune Disease Vascular Disease Pulmonary Disease Neuromuscular Disease Diabetes None Of The Above Which type of diabetes do you have? Type 1 Type 2 Was your latest A1c over 8.5? Yes No Are you insulin dependent? Yes No Do you have neuropathy? Yes No Do you have permanent complications due to the stroke?* Yes No Do you have permanent heart damage?* Yes No Cancer Type* Bile Duct/Gallbladder Brain Breast Female Reproductive Colon/Rectal Esophageal Head/Neck Leukemia/Lymphoma Liver Lung Melanoma/Merkel Cell Multiple Myeloma Pancreatic Prostate Renal Sarcoma Stomach/Gastrointestinal Thyroid Other Cancer What stage of Bile Duct/Gallbladder cancer?* Stage 1 Stage 2 Stage 3 Stage 4 I don’t know What stage of Brain Cancer?* Stage 1 Stage 2 Stage 3 Stage 4 I don’t know What stage of Breast Cancer?* Stage 1 Stage 2 Stage 3 Stage 4 I don’t know What stage of Female Reproductive Cancer?* Stage 1 Stage 2 Stage 3 Stage 4 I don’t know What stage of Esophageal Cancer?* Stage 1 Stage 2 Stage 3 Stage 4 I don’t know What stage of Colon/Rectal Cancer?* Stage 1 Stage 2 Stage 3 Stage 4 I don’t know What stage of Leukemia/Lymphoma Cancer?* Stage 1 Stage 2 Stage 3 Stage 4 I don’t know What stage of Head/Neck Cancer?* Stage 1 Stage 2 Stage 3 Stage 4 I don’t know What stage of Liver Cancer?* Stage 1 Stage 2 Stage 3 Stage 4 I don’t know What stage of Lung Cancer?* Stage 1 Stage 2 Stage 3 Stage 4 I don’t know What stage of Melanoma/Merkel Cell Cancer?* Stage 1 Stage 2 Stage 3 Stage 4 I don’t know What stage of Multiple Myeloma Cancer?* Stage 1 Stage 2 Stage 3 Stage 4 I don’t know What stage of Pancreatic Cancer?* Stage 1 Stage 2 Stage 3 Stage 4 I don’t know What stage of Prostate Cancer?* Stage 1 Stage 2 Stage 3 Stage 4 I don’t know What stage of Renal Cancer?* Stage 1 Stage 2 Stage 3 Stage 4 I don’t know What stage of Sarcoma Cancer?* Stage 1 Stage 2 Stage 3 Stage 4 I don’t know What stage of Stomach/Gastrointestinal Cancer?* Stage 1 Stage 2 Stage 3 Stage 4 I don’t know What stage of Thyroid Cancer?* Stage 1 Stage 2 Stage 3 Stage 4 I don’t know Are you still fighting Bile Duct/Gallbladder cancer?* Yes No, it has been in remission for less than 5 years No, it has been in remission for more than 5 years Are you still fighting Brain cancer?* Yes No, it has been in remission for less than 5 years No, it has been in remission for more than 5 years Are you still fighting Breast cancer?* Yes No, it has been in remission for less than 5 years No, it has been in remission for more than 5 years Are you still fighting Female Reproductive cancer?* Yes No, it has been in remission for less than 5 years No, it has been in remission for more than 5 years Are you still fighting Colon/Rectal cancer?* Yes No, it has been in remission for less than 5 years No, it has been in remission for more than 5 years Are you still fighting Esophageal cancer?* Yes No, it has been in remission for less than 5 years No, it has been in remission for more than 5 years Are you still fighting Head/Neck cancer?* Yes No, it has been in remission for less than 5 years No, it has been in remission for more than 5 years Are you still fighting Leukemia/Lymphoma cancer?* Yes No, it has been in remission for less than 5 years No, it has been in remission for more than 5 years Are you still fighting Liver cancer?* Yes No, it has been in remission for less than 5 years No, it has been in remission for more than 5 years Are you still fighting Lung cancer?* Yes No, it has been in remission for less than 5 years No, it has been in remission for more than 5 years Are you still fighting Melanoma/Merkel Cell cancer?* Yes No, it has been in remission for less than 5 years No, it has been in remission for more than 5 years Are you still fighting Multiple Myeloma cancer?* Yes No, it has been in remission for less than 5 years No, it has been in remission for more than 5 years Are you still fighting Pancreatic cancer?* Yes No, it has been in remission for less than 5 years No, it has been in remission for more than 5 years Are you still fighting Prostate cancer?* Yes No, it has been in remission for less than 5 years No, it has been in remission for more than 5 years Are you still fighting Renal cancer?* Yes No, it has been in remission for less than 5 years No, it has been in remission for more than 5 years Are you still fighting Sarcoma cancer?* Yes No, it has been in remission for less than 5 years No, it has been in remission for more than 5 years Are you still fighting Stomach/Gastrointestinal cancer?* Yes No, it has been in remission for less than 5 years No, it has been in remission for more than 5 years Are you still fighting Thyroid cancer?* Yes No, it has been in remission for less than 5 years No, it has been in remission for more than 5 years What Cognitive Disorders?* Alzheimer's Dementia Epilepsy Parkinson's Disease Stroke-related cognitive dysfunction MS Huntington’s Disease Lewey Body Disease Chronic Kidney Disease* Stage 1 Stage 2 Stage 3 Stage 4 Stage 5 Autoimmune Disease* Addison Disease Graves Disease MS Rheumatoid Arthritis Lupus Giant Cell Myocarditis Encephalitis Vasculitis Chron’s Disease Hemophilia Arteriosclerosis Lymphoproliferative Syndrome Pancreatitis Behcet’s Disease Pulmonary Diseases* COPD Cystic Fibrosis Interstitial Lung Disease Pulmonary Fibrosis Sarcoidosis Neuromuscular Diseases* ALS Lambert-Eaton Syndrome Mitochondrial Myopathy Motor Neuron Disease Muscular Dystrophy Myasthenia Gravis Peripheral Neuropathy Polymyositis This field is hidden when viewing the formunknown cancer stageThis field is hidden when viewing the formunknown cancerThis field is hidden when viewing the formHealth ScenarioThis field is hidden when viewing the formFinal Max HSThis field is hidden when viewing the formMax HSThis field is hidden when viewing the formHealth Scenario 1This field is hidden when viewing the formHealth Scenario 2This field is hidden when viewing the formHealth Scenario 3This field is hidden when viewing the formHealth Scenario 4This field is hidden when viewing the formHealth Scenario 5This field is hidden when viewing the formHealth Scenario 6This field is hidden when viewing the formMax Cancer HSThis field is hidden when viewing the formStart Thyroid HSThis field is hidden when viewing the formEnd Thyroid HSThis field is hidden when viewing the formStart Stomach/Gastrointestinal HSThis field is hidden when viewing the formEnd Stomach/Gastrointestinal HSThis field is hidden when viewing the formStart Sarcoma HSThis field is hidden when viewing the formEnd Sarcoma HSThis field is hidden when viewing the formStart Renal HSThis field is hidden when viewing the formEnd Renal HSThis field is hidden when viewing the formStart Prostate HSThis field is hidden when viewing the formEnd Prostate HSThis field is hidden when viewing the formStart Pancreatic HSThis field is hidden when viewing the formEnd Pancreatic HSThis field is hidden when viewing the formStart Multiple Myeloma HSThis field is hidden when viewing the formEnd Multiple Myeloma HSThis field is hidden when viewing the formStart Melanoma/Merkel Cell HSThis field is hidden when viewing the formEnd Melanoma/Merkel Cell HSThis field is hidden when viewing the formStart Lung HSThis field is hidden when viewing the formEnd Lung HSThis field is hidden when viewing the formStart Liver HSThis field is hidden when viewing the formEnd Liver HSThis field is hidden when viewing the formStart Leukemia/Lymphoma HSThis field is hidden when viewing the formEnd Leukemia/Lymphoma HSThis field is hidden when viewing the formStart Esophageal HSThis field is hidden when viewing the formEnd Esophageal HSThis field is hidden when viewing the formStart Colon/Rectal HSThis field is hidden when viewing the formEnd Colon/Rectal HSThis field is hidden when viewing the formStart Female Reproductive HSThis field is hidden when viewing the formEnd Female Reproductive HSThis field is hidden when viewing the formStart Brain HSThis field is hidden when viewing the formEnd Brain HSThis field is hidden when viewing the formStart Bile Duct/Gallbladder HSThis field is hidden when viewing the formEnd Bile Duct/Gallbladder HSThis field is hidden when viewing the formStart Breast HSThis field is hidden when viewing the formEnd Breast HSThis field is hidden when viewing the formStart Head/Neck HSThis field is hidden when viewing the formEnd Head/Neck HS This field is hidden when viewing the formFudge FactorThis field is hidden when viewing the formSBALEThis field is hidden when viewing the formNPVThis field is hidden when viewing the formNPVThis field is hidden when viewing the formNPV Year 1This field is hidden when viewing the formNPV Year 2This field is hidden when viewing the formNPV Year 3This field is hidden when viewing the formNPV Year 4This field is hidden when viewing the formNPV Year 5This field is hidden when viewing the formNPV Year 6This field is hidden when viewing the formNPV Year 7This field is hidden when viewing the formNPV Year 8This field is hidden when viewing the formNPV Year 9This field is hidden when viewing the formNPV Year 10This field is hidden when viewing the formNPV Year 11This field is hidden when viewing the formNPV Year 12This field is hidden when viewing the formNPV Year 13This field is hidden when viewing the formNPV Year 14This field is hidden when viewing the formNPV Year 15This field is hidden when viewing the formDirect Buyer's BidThis field is hidden when viewing the formSBA NPV Low EndThis field is hidden when viewing the formSBA NPV High EndThis field is hidden when viewing the formFormatted Direct Buyer's BidThis field is hidden when viewing the formFormatted SBA LowThis field is hidden when viewing the formFormatted SBA HighThis field is hidden when viewing the formFormatted NPVAre you the insured, owner, or financial representative of the owner? Insured Owner Financial representative of the Owner You Can Sell Your Life Insurance Policy Find out how much your policy is worth through a life or viatical settlement Fast Free Secure No Obligation Life Settlements Featured On