We are here to help you get the right insurance for your clients. We are experts in underwriting for impaired risk customers. This simple quoting tool makes shopping for the right coverage as easy as one, two, three.
We Are Here To Help You
Download and complete the mandatory initial questionnaire for all clients.
Download and complete any subsequent forms indicated based off the initial questionnaire.
Save all completed forms and attach them to an email sent to: firstname.lastname@example.org or fax to 281.940.1030.
- General Medical
- Foreign Residence
- Heart Abnmlekg
- Heart Aortic Regurgitation
- Heart Angioplasty
- Heart bbb
- Heart Attack
- Heart Aortic Stenosis
- Heart Disease Cardio
- Heart Congestive Heart Failure
- Heart General
- Heart Mitral Valve Prolapse
- Heart Pacemakers
- Hematuria Questionnaire
- Heart Pericarditis
- High Blood Pressure
All Cases will be fully underwritten by designated carriers and require a Paramed (Your client can attempt to acquire the paramed done for Farmer's Insurance, but experience has shown that it can take up to 6 weeks for them to cooperate. A new paramed is proving more efficient).
Once a form has been submitted there should be no more than a business day turnaround confirming your inquiry was received. If you have not heard from us please confirm the email address and resend the form.
The average estimates are 72-hour turn around time to hear from underwriters of various carriers. Some questionnaires may require further follow-up and all are expected to be completed in full.
All details of a condition are essential to help us place your client in the best coverage possible for them. Missing health or history information can delay an offer or cause a decline.
Thank you for trusting us with your valued client and we look forward to helping you find options for them!