UK Term Life Insurance

A UK term life insurance policy is called so because it only runs for a specified amount of time. It is also sometimes referred to as temporary insurance. The way it works is, if the policyholder dies within the agreed period then his or her beneficiaries will be paid a lump sum as compensation. The term you arrange for your term life insurance might be 10, 15 or 20 years, though it is possible to arrange cover for periods of time much shorter than that.

For your personal Term Life Quote please complete this questionnaire-

Contact Details
* Name/Company
* Your main E-mail Address
Do you have an alternative E-Mail Address (in case your primary email address ever lapses)
* Telephone
Mobile
Fax
* Address

* Town/City
* Post/Zip Code
* Country Of Residence (where you live)
* Nationality (where you were born)
* Occupation

Please list all members to be insured, including yourself, & relationship if any. NB - The D.O.B. is required for all persons to be insured
Title	Family Name	Given Forename(s)	Date Of Birth (dd/mm/yyyy)	Age	have you smoked in the last year?	Relationship
*					No Yes	Yourself
					No Yes
					No Yes
					No Yes
					No Yes

* Please tick here to confirm that you have listed
Dates of Birth for all members shown above

Quotation Details

* Amount of benefit required in £'s sterling

* Please state the country you require cover for

How long will you be staying there?

* [Help] Do you require joint life cover
with differing amounts?

No Yes

If Yes,
	Please state benefits required and for whom
	[Help]

* [Help] If two people require cover, do you
require Joint Life First Event?

No Yes

* Do you require this cover for a Mortgage or Loan?

No Yes

If Yes,
	Is it a mortgage or loan?

	When does the mortgage or loan start?

	If for a fixed term, how many years?

	If mortgage, what type of mortgage is it?
	[Help]
	If other, specify

* Do you require Level Term or Decreasing Term?

Level Term [Help]
Decreasing Term [Help]

* Do you wish benefits to be Index-Linked?

No Yes [Help]
Click No, if you have Checked Decreasing Term

Do you require Guaranteed or Reviewable Rates?

Guaranteed Rates [Help]
Reviewable Rates [Help]

* Do you require Waiver of Premium?

No Yes [Help]

Do you have a monthly budget for the premium?

No Yes

If Yes,
	Please specify your monthly budget as benefits can be calculated from a specific premium

How did you find us
Have you bought any insurance from PHA Before?	(Hold down "Ctrl" to make multiple selections)
* How did you find out about our site?
If Search Engine, Which one did you use?
FINALLY, PLEASE CHECK THAT YOU HAVE COMPLETED ALL BOXES ABOVE

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PHAMoney.com is a trading style of PHA Insurance Services Ltd - Registered Office: 1173 Bristol Road South, Northfield, Birmingham, B31 2SL, England. Companies House registration number 5092395 (England). PHA Insurance Services Ltd is directly authorised by the Financial Services Authority.

PHA Insurance Services Ltd is fully committed to the FSA's Treating Customers Fairly (TCF) initiative