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  Prequalification Worksheet Online Case Submission  
   

Pre-Qualification Worksheet
Part A requires score of 5 or higher
Total A & B of 15 points or greater--submit for analysis

  Add Points

Part A - Insured

1 pt

 

Male 70 or younger       Female 73 or younger

2 pts

 

Male 70-74                    Female 73-77

3 pts

 

Male 75-79                    Female 78-82

4 pts

 

Male 80 or older            Female 83 or older

1 pt

 

In good health

2 pts

 

Minor health problems

3 pts

 

Significant health change since policy issue

4 pts

 

Serious health problems

   

Part B - The Policy

1 pt

 

Whole Life

2 pts

 

Survivorship

3 pts

 

Convertible Term

4 pts

 

Universal or Joint Survivorship with 1 deceased

1 pt

 

Cash or loan value exceeds 30% of death benefit

2 pts

 

Cash or loan value 20%-29% of death benefit

3 pts

 

Cash or loan value 10%-19% of death benefit

4 pts

 

Cash or loan value less than 10% of death benefit

1 pt

 

Premium exceeds 7% of death benefit

2 pts

 

Premium 5%-7% of death benefit

3 pts

 

Premium 3%-5% of death benefit

4 pts

 

Premium 3% or less than death benefit

   

Total Score

 

 

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