Abbot Financial

Policy Details

• Type of Policy Please Select... Level Term Decreasing (Mortgage) Term
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  Policy Type

  Level Term - Fixed monthly premium and fixed lump sum payout, over agreed fixed protection period.

  Decreasing (Mortgage) Term - Mostly used to protect payment of the mortgage on property, in a case of unexpected hardship.

  

  This is required field. Please select one of the options provided above.

• Do you need illness cover?
  Yes    No
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  Would you like critical illness cover option?

  Critical Illness option pays out a lump sum in a case when insured person develops an incurable medical condition.

  For the list of the medical conditions that are covered, please ask the authorized consultant, that will contact you.

  

  This is required field. Please select one of the options provided above.

• Is this a joint application?
  Yes    No
  Info

  Joint applications:

  Thease are applications by a couple of people who want to take a mutual responsibility for each other.

  This type of option on life insurance is most often taken by married couples, with or without children.

  

  This is required field. Please select one of the options provided above.

• Amount of cover Please Select £20,000 £25,000 £30,000 £35,000 £40,000 £45,000 £50,000 £55,000 £60,000 £65,000 £70,000 £75,000 £80,000 £85,000 £90,000 £95,000 £100,000 £105,000 £110,000 £115,000 £120,000 £125,000 £130,000 £135,000 £140,000 £145,000 £150,000 £155,000 £160,000 £165,000 £170,000 £175,000 £180,000 £185,000 £190,000 £195,000 £200,000 £205,000 £210,000 £215,000 £220,000 £225,000 £230,000 £235,000 £240,000 £245,000 £250,000 £255,000 £260,000 £265,000 £270,000 £275,000 £280,000 £285,000 £290,000 £295,000 £300,000 £325,000 £350,000 £375,000 £400,000 £425,000 £450,000 £475,000 £500,000 £550,000 £600,000 £650,000 £700,000 £750,000 £800,000 £850,000 £900,000 £950,000 £1,000,000 £1,100,000 £1,200,000 £1,300,000 £1,400,000 £1,500,000
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  The Amount of Cover

  The answer is only required as quidance and there is no obligation to commit at this point.

  For example, this amount can be the lump sum your family would need to pay off the mortgage or the total sum you would need, for the rest of your life, in the case that you are diagnosed with critical illness.

  

  This is required field. Please select one of the options provided above.

• How long do you need cover for? Please Select... 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years 19 years 20 years 21 years 22 years 23 years 24 years 25 years 26 years 27 years 28 years 29 years 30 years 31 years 32 years 33 years 34 years 35 years 36 years 37 years 38 years 39 years 40 years 41 years 42 years 43 years 44 years 45 years 46 years 47 years 48 years 49 years 50 years
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  The Length of Cover

  The lenght of cover defines the length of a period during which you want to be covered in a case of an accident.

  For example it can be the amount of time left to pay off your mortgage or the amount of time untill your kids finish university.

  

  This is required field. Please select one of the options provided above.

About You:

• Title Please Select... Miss Mr Mrs Ms
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  Personal Title

  The prefix you usually choose in front of your name.

  

  This is required field. Please select one of the options provided above.

• First Name
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  First Name

  Your first name.

  

  This is required field. Please, provide an adequate input.

• Surname
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  Surname

  Your surname or a second name.

  

  This is required field. Please, provide an adequate input.

• Gender
  M      F
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  Gender

  Your gender.

  

  This is required field. Please, provide an adequate input.

• Date of Birth -- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / -- January February March April May June July August September October November December / -- 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941
• Do You Smoke?
  Yes    No
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  Is smoking affecting your policy?

  A smoking habit might reflect negatively on your life insurance policy. Smokers should expect to pay slightly higher monthly premiums.

  It might be worth looking into finding a way to stop smoking.

  

  This is required field. Please select one of the options provided above.

About Your Partner:

• Title Please Select... Miss Mr Mrs Ms
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  Personal Title

  The prefix your partner usually chooses in front of his or her name.

  

  This is required field. Please select one of the options provided above.

• First Name
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  First Name

  Your partner's first name.

  

  This is required field. Please, provide an adequate input.

• Surname
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  Surname

  Your partner's surname or a second name.

  

  This is required field. Please, provide an adequate input.

• Gender
  M      F
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  Gender

  Your partner's gender.

  

  This is required field. Please, provide an adequate input.

• Date of Birth -- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / -- January February March April May June July August September October November December / -- 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941
• Do You Smoke?
  Yes    No
  Info

  Is smoking affecting your policy?

  A smoking habit might reflect negatively on your life insurance policy. Smokers should expect to pay slightly higher monthly premiums.

  It might be worth looking into finding a way to stop smoking.

  

  This is required field. Please select one of the options provided above.

Contact Details

• Email
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  The Email

  The email address you want to be contacted at, regarding your life insurance quote.

  

  This is required field. Please, provide an adequate input.

• Home Phone
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  Home Phone

  Your home phone. Please, include dialing code.

  

  This is required field. Please, provide an adequate input.

• Work Phone
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  Work Phone

  Your work phone. Please include dialing code.

  

  This is required field. Please, provide an adequate input.

• Mobile Phone
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  Mobile Phone

  Your mobile phone. Please include dialing code.

  

  This is required field. Please, provide an adequate input.

Mail Address

• Street number
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  Street number:

  Your house number.

  

  This is NOT a required field.

• Street
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  Street name

  The name of the street where you live, without street number. For example: Oxford St.  or  Tavistock Square,  etc.

  

  This is required field.

• House / Flat name
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  Name of the House, or flat number.

  Building name, with number if necessary. For example: Burlington House  or  22.b Crescent House,  etc.

  

  This is a required field. Please, provide an adequate input.

• Area
• Town
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  City, town or village.

  The name of a city, town or a village where you are resident. This location must be in the United Kingdom.

  

  This is required field. Please, provide an adequate input.

• County
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  County name

  The name of the county where you are resident. This location must be in the United Kingdom. This is NOT a required field.

  

  This is NOT required field. Feel free to omit this.

• Post Code
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  Post code

  Please, enter a valid UK post code.

  

  This is required field. Please, provide an adequate input.

Required Fields