Life Insurance No Medical Exam

We shop all plans.  Life Insurance with no medical exam required policies are now available from numerous U.S. based life insurance companies.  These policies provide the same benefits as plans that require a medical exam.

However, they do not require that the applicant experience an invasive medical exam that includes being stuck by needles and being required to provide other bodily fluid samples. Get a life insurance no medical exam quote now.

Policy Features

• Your Life Insurance No Medical Exam Policy is available in amounts from $50,000 to $250,000, in $1,000 increments.
• If you are approved, coverage for the full amount of your policy goes into effect immediately, usually while you are still sitting at your computer.
• These life insurance no medical exam policies are NOT for people with serious health issues. 

How does this process work?

• Complete the life insurance no medical exam application request below.

• Receive your quote and an application from the company that offers you the best rate.

• Call us and complete the application online.  You can be approved instantly.  OR

• After we confirm your information by telephone, those who qualify can be approved in less than 24 hours, sometimes while you are still on the phone with us.

No Exam Life Insurance Quote Request

This form is not an application.  Age, Gender, State, Tobacco use, and height and weight are needed to prepare your quote accurately.  Personal information is required so that we provide this service only to those consumers willing to be contacted by us.  None of this information is sold or distributed to anyone outside our agency. 

Name
First Name:
Last Name:
Insurance Requested
Amount Requested	Select Amount Burial, 5000 to 25000 50,000 100,000 150,000 200,000 250,000
Purpose:	Select Purpose Family's security after death Replace Existing Insurance Supplement Policy from work Payoff Mortgage and Debts Child's Education Estate Planning/Taxes Build Cash Value
Personal Information
Date of Birth:	01 02 03 04 05 06 Month 07 08 09 10 11 12   01 02 03 04 05 06 07 08 09 10 11 12 13 14 Day 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 Year 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001
Gender:	Select Male Female
Address:
City:
State:	Select State Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming
Zip Code:
Phone:	-  -    Ext.
Best time to call:	Choose Time 7 A.M. to 9 A.M. 9 A.M. to 11 A.M. 11 A.M. to 1 P.M. 1 P.M. to 3 P.M. 3 P.M. to 5 P.M. 5 P.M. to 7 P.M. 7 P.M. to 9 P.M. 9 P.M. to 11 P.M.
Alternate Phone:	-  -    Ext.
Best time to call:	Choose Time 7 A.M. to 9 A.M. 9 A.M. to 11 A.M. 11 A.M. to 1 P.M. 1 P.M. to 3 P.M. 3 P.M. to 5 P.M. 5 P.M. to 7 P.M. 7 P.M. to 9 P.M. 9 P.M. to 11 P.M.
Fax Phone:
Email Address:
Health Information
Height   4"8 4'9 4"10 4'11 5'0 5'1 5'2 5'3 5'4 5'5 5'6 5'7 5'8 5'9 5'10 5'11 6'0 6'1 6'2 6'3 6'4 6'5 6'6 6'7 6'8 6'9 6'10 6'11 7'0 7'1 7'2 Weight  lbs. In the past 12 months have you smoked cigarettes, cigars, pipes or used tobacco in any form including snuff, dip, chew, nicotine patch, gum or other substitutes. YesNo