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Insurance Requirements
Type of Insurance
Type of cover
Over what period?
Amount of cover
Type of premium
Personal Details
Title
First Name
Last Name
Date of birth
Do you smoke? No  Yes 
Is this a joint application? No  Yes 
Contact Information
Email address
Home phone
Work phone
Mobile Phone
House Number
House/Flat name
Street
Area
Town
County
Postcode
Valid Postcode Samples: M1 1AA, M60 1NW, CR2 6XH, DN55 1PT, W1A 1HQ, EC1A 1BB


** Please leave fields blank if it's not applicable.

Privacy Policy Information

The website LifeCoverCoach.com take the privacy of your personal information very seriously. Your personal information is securely kept per Data Protection Act 1998 and the European Directive on Privacy and Electronic Communications (2002/58/EC). If you do not wish Life Cover Coach to collect or process your personal information, please feel free not submit for a quote.

In order to get an accurate life cover quote, our panel of insurance providers do require you to provide us with a limited amount of personal information relevant to the life cover underwriting process. We will not collect any information or data about you unless you have chosen to give it to us. This personal information will be sent on to insurance brokers to help them process your quote, provide you with an updated, efficient, and reliable service. By submitting your data you agree to this use.

*Figures are indications of savings only and based on a £100,000 life insurance policy for a female aged 30, non smoker and without a pre-existing medical condition. The rate is based on a 25 year level term policy, sourced on a guranteed basis. Correct as at September 2009.



Insurance Source Premium*
Natwest£9.80
with LifeCoverCoach.com£5.00
LV=£6.17
Bupa£8.00

*The figures above are based upon this configuration: 30 years of age, Female, £100,000 life insurance only, non smoker, normal health conditions, 25 year level term, and guaranteed basis. (this info is correct as at September 2009)




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