Impaired Risk Life Insurance
No matter your current health, let’s discuss your options for Life Insurance.
Here is our 4 step approach to more challenging life insurance cases:
1. Don’t assume you won’t qualify for Life insurance. We have had success in obtaining affordable life insurance coverage for people with many types of “impaired risk” histories.
2. Reach out to us to determine the best starting point. Send us an email with your health history, find and complete the appropriate impaired risk questionnaire below, or give us a call.
3. We will review your information and anonymously send your case to several life insurance carriers for their reaction.
4. Determine the best course of action and take an application!

Impaired Risk Questionnaires
Alpha Listing of Fillable PDFs
- Authorization Form
- Alcohol Usage
- Angioplasty
- Anxiety Disorders
- Arthritis
- Atrial Fibrillation
- Avocations
- Build
- Bundle Branch Block
- Cancer
- Cancer – Bladder
- Cancer – Breast
- Cancer – Cervical
- Cancer – Ovarian
- Cancer – Prostate
- Cancer – Skin
- Cancer – Testicular
- Cerebral Palsy
- Chronic OPD
- Congestive Heart Failure
- Hepatitis
- Hypercoagulable Disorder
- Hyperglycemia
- Hypertension
- Irregular Heartbeat
- Kidney Function
- Kidney Transplant
- Leukemia
- Liver Tests
- LTC Pre-screening Form
- Lung Disease
- Lupus
- Lymphoma
- Mental Disorders
- Mitral Valve Disorder
- Mitral Valve Prolapse
- Multiple Sclerosis
- Neuromuscular Disorder
- Pacemaker
- Pancreatitis
- Panhypopituitarism
- Paralysis
- Parkinsons Disease
- Personality Disorders
- Pheochromocytoma
- Polycystic Kidney Disease
- Polyp Cyst Tumor Growth
- Prostate Benign
- Proteinuria
- PSA – Elevated
- Sarcoidosis
- Scleroderma – Crest
- Sickle Cell Anemia
- Sleep Apnea
- Spinal Cord Injury
- Stent
- Stroke – TIA
- Thrombus
- Thyroid Disease
- T-Wave Changes
- Valvular Heart Surgery