Traffic Ticket

File # 10595 Female, 31 years old $500,000 coverage, 30-year term Was declined, elsewhere Health Issues Cancer - Osteoblastoma, benign tumor in pelvic bone - diagnosed and removed 3 years ago, no recurrence Family History of Cancer - sister, breast cancer at age 31 - mother, breast cancer at age 29, died at age 41 Pregnancy - currently 5 months pregnant Lifestyle Issues Foreign travel - Israel, 9 visits in the last 5 years Legal Issues Department of Motor Vehicle Record - 1 traffic ticket in the last 5 years

File # 10580 Male, 30 years old $1,500,000 coverage, 20-year term Health Issues Substance Abuse - currently smoking marijuana once every month, and has done so for the last 5 years Drinking alcohol - currently drinking approximately 6 drinks every week Lifestyle Issues Rock climbing - 2.5 years of experience - indoor climbs, approximately 6 times every month - outdoor climbs, 1 or 2 times every month - climbs are moderate degree of difficulty - plans to reach 500' Auto Racing - 5 years of experience - Mustang racing, plans to race 3 times in the next year Legal Issues Department of Motor Vehicle Record - 1 traffic ticket in the last 5 years

File # 10582 Male, 36 years old $750,000 coverage, 20-year term Health Issues High cholesterol (ldl cholesterol) - currently treated with medication Anxiety and Depression - diagnosed 8 years ago - currently treating with medication Drinking alcohol - approximately 3 drinks every week Family History of Cancer - father, prostate cancer at age 70 Medications Did use Paxil Now uses Effexor, Lipitor, and Prevacid Legal Issues Department of Motor Vehicle Record - 1 traffic ticket in the last 10 years

File # 10527 Male, 42 years old $200,000 coverage, 20-year term Health Issues Seizure disorder (epilepsy) - diagnosed 9 years ago, caused by concussions related to Army service - 5 gran mal seizures, less than 1 each year - 2 or 3 petit mal seizures each month - 11 hospitalizations, on outpatient basis - currently treated with medication High blood pressure (hypertension) - currently treated with medication Polyp on vocal chord - removed 3 years ago, and nothing returned Family History of Cancer - father, died from hip-related cancer at age 52 Family History of Diabetes - mother, developed diabetes at age 65 Medications Did use Depakote, Dilantin, and Tegretol Now uses Benicar and Lamictal Legal Issues Department of Motor Vehicle Record - 1 traffic ticket in last 2 years

File # 10524 Male, 50 years old $200,000 coverage, 15-year term Health Issues Anxiety and Depression - diagnosed 23 years ago, hospitalized for 2 weeks to treat with medication - hospitalized again, 22 years ago, to adjust medication - currently treating with medication Medications Lithium Legal Issues Department of Motor Vehicle Record - 2 traffic tickets in the last 5 years

File # 10509 Male, 67 years old $50,000 coverage, Low-priced Universal Life Health Issues Cancer - basil cell carcinoma (type of skin cancers) - removed 18 years ago - no recurrence or subsequent treatment Digestive disorders - Crohns Disease, diagnosed 30 years ago - bowel resection, 7 years ago High cholesterol (ldl cholesterol) Family History of Cancer - father, died at age 50 from lung cancer - brother is alive, developed prostate cancer at age 63 Medications Cortizone, Lipitor, and Sulfadine Legal Issues Department of Motor Vehicle Record - 2 traffic tickets in the last 5 years

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

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Speeding Ticket
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