Fill in the form to get a FREE QUOTE Contact Details Name Email Address Phone Number Postcode Personal Details Date of Birth Gender Male Female Smoker Status Non-Smoker Smoker [ Select 'Smoker' if you have smoked in the last 12 months ] Occupation Annual Income Insurance Details Term Life Cover [ Term life insurance provides a lump sum payment on the death of the life insured. Approximate premiums are detailed below for non-smokers.] TPD Cover [Total and Permanent Disability (TPD) is usually taken as an extension to life cover. It provides a lump sum payment in the event that the life insured is totally and permanently disabled. Where people take income protection the amount of TPD cover can be reduced. As if you have correct income protection, in the event of total disablement the income protection policy will replace lost income.] Trauma Cover [Trauma policies pay a lump sum in the event of an injury or sickness as defined in the policy document, (for example cancer, heart attack, stroke). This can be taken as a stand alone policy (on its' own), or attached to a life insurance policy. There are basic trauma policies and there are extended trauma policies that cover a greater level of events (we only quote on the extended cover). Some policies offer TPD as a definition of trauma, therefore this can provide cost savings.] Would you also like quotes for Income Protection Cover? Yes No Digg Digg