Term Life Insurance Quotes

Lehrman Group makes it easy to purchase a term or whole life insurance policy. We represent over 60 major life insurance companies, and we use the following 'two minute' questionnaire to calculate what your premiums will be. We'll email you back with your quotes or call you if you prefer.

Please fill in all areas completely. We cannot give you an honest quote unless you provide all the information requested below. We promise that we will not sell or divulge any of your information to anyone. You may view our Privacy Policy here. The information you provide will only be used to calculate your life insurance rates.

Call us toll-free at 800-600-9663 to get immediate quotes, or simply use the form below to get your quotes via email.

Founded in 1988, Lehrman Group serves the life and health insurance needs of individuals, small and large businesses, governments and institutional clients nationwide.

Your name

Your e-mail address

Date of Birth

Gender

Street Address

City

State  

Zip Code

Occupation

Beneficiary/Relationship

Has the proposed insured used tobacco in any form in the last 36 months?
Yes | No

Has the proposed insured used tobacco in any form in the last 60 months?
Yes | No

Has the proposed insured ever been told they had or ever been treated for any of the following:

Yes | No - - High blood pressure?
Yes | No - - High cholesterol?
Yes | No - - Heart disease?
Yes | No - - Cancer?
Yes | No - - Diabetes?

Has any parent or sibling been treated for cancer or heart disease prior to age 60?
Yes | No

Has any parent or sibling died from cancer or heart disease prior to age 60?
Yes | No

If Yes, parent or sibling's age at death:

Have you ever been rated up or declined for a life insurance policy?
Yes | No

If YES, why?

How TALL are you?

How much do you WEIGH?

Have you been convicted of DUI/reckless driving in the last 5 years or had 3 moving violations in the last 3 years?
Yes | No

Will this policy replace any existing life insurance or annuity policy?
Yes | No

If yes, with which insurance company:

Amount of insurance desired:
 

What is the length of term desired:

Premium payment preference:

Underwriting Contact Information...

Home Phone

Business Phone

Best time to call

Any comments or special requirements?

The premium rates you will receive are for quoting purposes only, are not an offer of coverage and are not guaranteed. Final premium rates will be determined by the insurance companies and are based on individual circumstances. As a result of underwriting, final premium rates may differ from quoted premium rates.

Lehrman Group and/or an associate of Lehrman Group holds insurance licenses in the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Kansas, Kentucky, Louisiana, Michigan, Missouri, Nevada, New Hampshire, New Mexico, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia and West Virginia. Parties requesting rates from one of the states where Lehrman Group (or an associate of Lehrman Group) is not licensed will be contacted by a local agent or broker who is licensed by the Insurance Commissioner in that state.

Get Life Insurance Rates