Exclusive Broker: Green Financial Corp., 1-800-877-8019  
IMB-Health
Term Life
 
 
Term Life Express Insurance 15/20/30

 

How to Apply for Term Life Express:

Download Application

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



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