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📋 Do you have any of the following types of cover?

• Life & Income Protection
• Income Protection
• Life Insurance
• No cover in place

🚬 Have you smoked or used tobacco/nicotine in the past 12 months Please SelectNever SmokedNone in the last 5 yearsNone in the last 12 MonthsTobacco or replacement products in the last 12 months

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💼 What is your current Occupation: *

Some occupations are considered more risky or hazardous than others.

💷 What’s your approximate monthly income?Please Select£10,000 – £19,999£20,000 – £29,999£30,000 – £39,999£40,000 – £49,999£50,000 – £59,999£60,000 – £69,999£70,000 – £79,999£80,000 – £99,999£100,000+Prefer not to say

(We’ll only use this to provide the right level of cover)

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Name *

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📧 Email address to send your Quote *

Date of Birth: *

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👉 Contact Time Preference

• Morning (9am–12pm)
• Afternoon (12pm–4pm)
• Evening (4pm–7pm)
• Anytime

📞 What’s the best number for you? *

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Family Protection

🦴 What Is Fracture Cover?

📋 What Does It Cover?

• ✔️ Broken bones (arms, legs, ribs, wrists)
• ✔️ Dislocations (shoulders, elbows, knees)
• ✔️ Ruptured tendons and ligaments
• ✔️ Skull and spinal fractures

💡 Why Add It?

• ✅ Quick, tax-free lump sum
• ✅ No medical or income evidence needed
• ✅ Add to Life or Income Protection plans

💷 How Much Does It Cost?

Accident & Sickness Cover

Monthly income payouts if illness or injury stops you working.

Life Insurance Cover

Lump sum payout for your loved ones if you pass away. Peace of mind guaranteed.

Over 50s Insurance

Guaranteed acceptance for UK residents aged 50–80 with no medicals.