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Adult (i8-65 years) build chart for Critical illnesses - If there is no other medical conditions, standard rates apply to the following height and weight measurements (…
Reference number: MIND0277
Product type: Underwriting
Adult Build Chart (for life product only) - If there is no other medical conditions, standard rates apply to the following height and weight measurements (regardless of…
Reference number: MSEL143
Product type: Underwriting
Need an easy way to introduce critical illness insurance to your clients? We can help. Our simple and affordable Critical Illness Rider makes it easy to talk about the…
Reference number: MIND0120
Product type: Critical Illness Rider
1. Do you presently use alcoholic beverage? Yes No If yes, please record quantity in each category below (glasses, ounces or bottles, on a daily, weekly or monthly basis…
Reference number: FIND0192
Product type: Forms and Questionnaires
I-MEDICAL HISTORY 1. Symptoms: 2. Date of first symptom: 3. Frequency of attack/episode: 4. Joints affected: 5. Investigation/exam performed 6. Medical diagnosis:
Reference number: FIND0183
Product type: Forms and Questionnaires
Printed Documents Order Form - Individual Insurance To submit your order, please send this form to documents@ssq.ca or press Send button. Important —► Please complete…
Reference number: FIND0072
Product type: Forms and Questionnaires
Basic - 3 illnesses Types of protection Concepts Individual Multi-life Plans T10 T20 T75 T100 T100 paid-up 20 years Enhanced - 25 illnesses Child - 28 illnesses…
Reference number: MIND0065
Product type: Critical Illness
Target market Plans Issue ages Children Families Baby-boomers Young couples Business owners or key employees Whole Life 20 Whole Life 100 Term 100 0 to 75
Reference number: MIND0045
Product type: Permanent Life
Coverage type Individual or Multi-life Joint first to die (2 to 5 lives) Available terms 10,15, 20, 25, 30 or 35 years Issue ages Term Plus 10: 18 to 75 Term Plus 20: 18…
Reference number: MIND0105
Product type: Term Life
Costs of insurance YRT LevelT100 Issue ages 0 to 85 0 to 80 Individual Types of coverage Joint first to die (2 to 5 lives) Joint last to die (2 to 5 lives) Minimum: $25,…
Reference number: MIND0043
Product type: Universal Life
1. How many years have you been racing? 2. What driving course(s) have you taken and for how many years? 3. Racing vehicles you currently use:
Reference number: FIND0196
Product type: Forms and Questionnaires
1. Pilot or pilot student, please specify : Total number of hours flown as a pilot or navigator: Date of last flight: Type(s) of pilot's license held currently: 2.…
Reference number: FIND0195
Product type: Forms and Questionnaires
I.Type of craft: balloon 2. Construction: factory assembled rigid wing 3. Type of flying: advertising student hang glider ultralight plane home built motorized parachute…
Reference number: FIND0199
Product type: Forms and Questionnaires
Consent and Signatures of the payer(s) I (We) authorize the Canadian financial institution mentioned above to provide the insurance company SSQ Insurance Company Inc.…
Reference number: FIND0229
Product type: Forms and Questionnaires
I (we), hereby(ies), surrender to the Company the above contract and ask the cash value in conformity with the above contract dispositions. I (we) acknowledge that the…
Reference number: FIND0208
Product type: Forms and Questionnaires
Beneficiary(ies) - A - life insurance, B - critical illness rider, C - critical illness insurance Indicate both the first name and the last name of the person who will…
Reference number: FIND0205
Product type: Forms and Questionnaires
I declare that the name of: Owner: has been changed for one of the following reasons: wedding separation divorce legal change of name legal adoption error on the…
Reference number: FIND0204
Product type: Forms and Questionnaires
1. Have you ever suffered from chest pain? Date of first occurence: Interval between occurences: 2. If you answered Yes to question 1, is the pain in the left shoulder,…
Reference number: FIND0202
Product type: Forms and Questionnaires
Policy application For the following products: Permanent life -Term life -Term Plus Critical illness Universal life
Reference number: DIND0146
Product type: Universal Life
1. Does the child already have a critical illness insurance in force or have any other application pending? If yes, details: 2. Are you aware of any symptoms, signs or…
Reference number: FIND0191
Product type: Critical Illness