Do Not Wait For Open Season To Find A Less Expensive FEGLI Solution

Tell Me More

Kippenberger and Associates is a long established, independent insurance agency that represents you. Instead of any one specific company, we do business with dozens of top-rated* companies all over the country. That means we can shop the market to find you the best policy with the best company at the best price.

Many agents advertise low cost life insurance, but once you’ve applied they find that you don’t qualify for the rates quoted. Here at Kippenberger and Associates we have a different philosophy. We prefer to “pre-underwrite” each client before we ever calculate a quote. That way we both know what to expect, and when you apply you are more likely to get the coverage you need at a price you can afford.

So please take a moment to complete the following questionnaire with as much detail as possible and remember, this information is held in the strictest of confidence and will be disclosed only to our underwriters.

*Companies must have obtained “A” or better rating from A.M. Best Company, Independent Life Insurance Analysts.

Please provide the following information:

Full Name:
Street Address:
City:
State:
Zip:
EMail:
Best Time to Call:
Home Phone:
Business Phone:
FAX:
DOB:
Smoker? Yes No
Sex: Male  Female
Height:
Weight:
Pay Grade &
Annual Salary:
Federal Branch
and Location:
Do you currently have
"FEGLI" option B?
 Yes No
If so, how many times
your current salary?
 1  2   3  4  5
Are you in good health? Yes    No
If no, please list conditions:
How much insurance
do you need?
Are you under a doctor's care? Yes    No
If so, please list dates and reasons:
Do you take any medications? Yes    No
If so, please list reason name and dosage:
What do you want your
insurance to do for you and your family?
 Income to family in case of death
Mortgage Protection
Child's Education
Estate Protection
Pension Maximization
Replacing Existing Insurance
Thrift Plan Rollover
Long Term Care
Would you like a quote for other family members? Yes    No
If so, please list name, DOB and amounts:

 

Please remember that you are under no obligation and all inquiries are strictly confidential. All of our companies fully underwrite their plans so a brief medical check-up and/or doctor’s report will be required. Although, there is no cost to you, your assistance is required to obtain them in a timely manner. However, the examiner comes to you at a time and place of your choosing, so it couldn’t be easier!

No one wants to spend more than necessary on life insurance; but few have the time or expertise to research their alternatives. High quality, low cost life insurance is our specialty at KIPPENBERGER AND ASSOCIATES. Let us do the research for you!