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Step 1-4

what state do you live in?

State field is required.

{{siteName}} makes you the Agent

  • Run your own quotes.
  • Decide what’s best for you without having to deal with pushy insurance agents.
  • Virtual agent tools are available to help you choose what life insurance policy is best for you and your family.

Step 2-4

please provide some health background

Sex

Gender field is required.
Date of birth field is required.
Health rate is required.

How to rate your health

Excellent
  • Healthy Weight/BMI
  • No Medical Conditions
  • No Medications
Good
  • Normal Weight
  • Minor pre-existing Medical Conditions
  • Controlled minor medical conditions (HBP/Cholestrol)
Ok
  • Overweight
  • Diabetes
  • Uncontrolled HBP/Cholestrol
Smoke field is required.

How to rate your health

    Excellent

  • Healthy Weight/BMI
  • No Medical Conditions
  • No Medications

    Good

  • Normal Weight
  • Minor pre-existing Medical Conditions
  • Controlled minor medical conditions (HBP/Cholestrol)

    Ok

  • Overweight
  • Diabetes
  • Uncontrolled HBP/Cholestrol

Step 3-4

choose your coverage

Coverage field is required.
Death benefit is required.
First name is required.
Last name is required.
Phone Number is required.
Please specify a valid phone number.
Please check the phone number provided as we are unable to send your OTP verification code.
Email is required.
Enter a valid email.
By submitting this form, you consent to receive communications from PolicyWand via various channels, including but not limited to email, SMS text messages, and phone calls, regarding insurance products and services, and other relevant information. You have the right to opt-out of receiving marketing communications at any time by unsubscribing in the communication sent or contacting our customer service team.

How to choose your coverage

  • Pick a Death Benefit that will cover your debt and provide your family with an income to sustain their standard of living.
  • Pick a term length that will cover you during your income replacement years.

    Unsure

  • Use our Life Insurance Calculator by clicking here.
First Name{{model.fname}}
Last Name{{model.lname}}
Email{{model.email}}
Phone{{formatNumber(model.phoneNumber)}}
Health condition{{model.rateHealthCondition}}
Death Benefit{{formatCurrency(model.faceAmount)}}
Term Period{{model.termyear}}
Gender{{model.gender == 'M' ? 'Male' : 'Female'}}
DOB{{dob.month}}-{{dob.day}}-{{dob.year}}
Age{{new Date().getFullYear() - dob.year}}
State{{model.state}}

Step 4-4

choose your coverage

Death benefit is required.
Coverage field is required.
Payment option is required.

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Proceed with Confidence

Applying for life insurance requires the collection of your name and contact information for security and verification purposes. Your mobile phone number and email address allows us the ability to establish two-step-verification in order to protect and secure your personal information. Information collected is strictly used for the purpose of applying and servicing your life insurance needs. {{siteName}} will never sell, share, distribute, or disclose your information to a third party outside of the insurance carrier(s) you are applying with.

Application FAQ's

No, the process of applying is not a commitment to purchase a policy. This process allows the carrier to underwrite your medical and financial history in order to determine your eligibility for coverage. You may stop the process at any time.
Yes, you may change your benefit amount, product type or carrier at any time during the underwriting process. Just let us know if anything changes. You can email us at info@policywand.com with any requested changes.
No, applying is absolutely free. The insurance carrier covers all costs associated with applying even if you decide to stop the process and even if you change your mind about purchasing the policy.
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