Smokers and Tobacco Users
Just because you smoke or recently quit doesn't mean you will have to pay higher smoker rates! There are some companies that give light smokers non-smoker rates, and other companies that vary their rates depending on the type of tobacco usage. TermLifePros maintains top relationships with many life insurance companies and underwriters which helps us fight for the lowest possible quotes, that many times you wouldn't have known were available.

This is the reason online quotes are not always the most accurate. We encourage you to use our online quoting system as a reference, but to get the most accurate quote we suggest filling out the short form below so one of our agents can provide you with an accurate quote.
* = Required Field
First Name: *
Last Name: *
Date of Birth: *
Sex: *
Height:  Weight *
Marital Status:
Spouse's First Name:
Home Address:
  City
  *  Zip
Home Phone: *
Work Phone:
Best Time to Call:
E-Mail Address: *
Current Occupation:
Amount of Insurance: *
Length of Coverage:
Are you a Tobacco or Nicotine User? Yes
What Type?
If you quit, please select month & year
Amount Smoked:
Health Problems:
List any medications taken & the amounts:
  
Additional remarks/comments about your health history: