File # 10574
Male, 52 years old
$250,000 coverage, 15-year term

Health Issues
  • Heart problems - irregular readings on prior electrocardiogram (ECG)
  • High blood pressure (hypertension) - currently treating with medication
  • Tobacco - currently smoking cigars
  • Drinking alcohol - currently drinks 3-4 beers every weekend
  • Family History of Cancer - father, died of lung cancer at age 75
  • Family History of Diabetes - father, diagnosed with diabetes at age 60
  • Family History of Heart Conditions - mother, heart disease, heart attack at age 56
  • Family History (Other) - mother, died of complications from Lupus
Medications
  • Uses medication for high blood pressure
Legal Issues
  • Department of Motor Vehicle Record - 1 traffic ticket in last 10 years
Life Insurance Questions