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Option 2:

Simplified underwriting

IMPORTANT DECLARATION

This declaration will determine your eligibility to qualify.

On the date of signing this application, each person to be insured declares the following:

  1. He/she is not disabled or receiving disability benefits.
  2. He/she is not hospitalized or waiting to be hospitalized
  3. He/she does not have or has never been diagnosed with breast cancer
  4. He/she did not have or has never been diagnosed or been treated for any other type of cancer in the past five (5) years
  5. He/she did not have or has never been diagnosed with AIDS or any form of pre-AIDS

Limitations apply for Travel