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Life Insurance Worksheet
Outstanding Debt
How much is needed to pay off your existing debt?
Mortgage:
$
Car Payments:
$
Credit Card Debt:
$
Other Debt:
$
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Current Income
An important factor in determining how to maintain your current standard of living is your current income.
What is your annual income?
$
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Future Plans
Are there any one-time expenses you wish to fund (wedding, new car, home improvements)?
Total future plans amount:
$
Amount of any existing coverage:
$
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TOTAL
Given your expenses and existing coverage, consider this additional amount of life insurance
$0
This information is for illustrative purpose only
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Start Over
Life Insurance Calculator
Premium Calculator
Quick tool for matching coverage to cost.
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Employee
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Spouse
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Child
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Annual Salary:
Insurance Age:
Tobacco use in
last 12 months?
Life and AD&D coverage:
%
age reduced
coverage:
None
$0.00
$0.00
None
$0.00
$0.00
None
$0.00
AD&D coverage:
%
age reduced
coverage:
None
$0.00
$0.00
None
$0.00
$0.00
None
$0.00
Total Monthly Premium:
* Requires Evidence of Insurability
Calculated premium is for illustration purposes only and is based on the age and choices selected. Eligibility for, entitlement to, and amount of actual benefits will be determined according to the terms of the policy.