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SuperTerm 10:
Premiums are guaranteed and locked in for 10 years.
SuperTerm 15:
Premiums are guaranteed and locked in for 15 years.
SuperTerm 20:
Premiums are guaranteed and locked in for 20 years.
SuperTerm 25:
Premiums are guaranteed and locked in for 25 years.
SuperTerm 30:
Premiums are guaranteed and locked in for 30 years.
Residency
Are you a resident of Connecticut?
Yes
No
Amount of Coverage
Choose amount of insurance desired
$100,000
$110,000
$120,000
$130,000
$140,000
$150,000
$160,000
$170,000
$180,000
$190,000
$200,000
$210,000
$220,000
$230,000
$240,000
$250,000
$260,000
$270,000
$280,000
$290,000
$300,000
$310,000
$320,000
$330,000
$340,000
$350,000
$360,000
$370,000
$380,000
$390,000
$400,000
$410,000
$420,000
$430,000
$440,000
$450,000
$460,000
$470,000
$480,000
$490,000
$500,000
$510,000
$520,000
$530,000
$540,000
$550,000
$560,000
$570,000
$580,000
$590,000
$600,000
$610,000
$620,000
$630,000
$640,000
$650,000
$660,000
$670,000
$680,000
$690,000
$700,000
$710,000
$720,000
$730,000
$740,000
$750,000
$760,000
$770,000
$780,000
$790,000
$800,000
$810,000
$820,000
$830,000
$840,000
$850,000
$860,000
$870,000
$880,000
$890,000
$900,000
$910,000
$920,000
$930,000
$940,000
$950,000
$960,000
$970,000
$980,000
$990,000
$1,000,000
-or-
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Rate Information
Name:
(optional)
Gender:
Male
Female
Date of Birth:
Jan
Feb
March
April
May
June
July
Aug
Sept
Oct
Nov
Dec
1
2
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4
5
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22
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25
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27
28
29
30
31
1940
1941
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1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
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1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
Tobacco use:
When was the last time you used Tobacco products:
never
2 years or longer
Less than 1 year
3 years or longer
More than 1 year
5 years or longer
Risk Classification:
Please choose between standard or select
(Not sure? review
understanding risk classification.
)
Standard Tobacco
Non Smokers Only
Standard Non-Tobacco
Select
SelectPlus
UltraSelect
The Savings Bank Life Insurance Company (Connecticut) products are available for Connecticut Residents Only. VantisLife Insurance Company products are available for residents of other states.
