Term Life Express Insurance 15/20/30
How to Apply for Term Life Express:

1.
Complete Sections:
·
A - Proposed Insured
·
C - Health Information
·
G - Only if you have other life insurance or if you intend to replace life
insurance.
·
H - Beneficiary
·
J - Plan Information
·
L - Premium and Billing Information
·
M - Read, Sign and Submit with application
2.
Complete the Bank Draft Authorization if
paying monthly
3.
Sign and date Authorization to Disclose form
4.
Sign and date Accelerated Death Benefit Rider Disclosure form
5.
Return all forms to Green Financial:
Attn: Steve Brown
Green Financial
PO Box 8036
Kirkland, WA 98034