QUALIFYING WORKSHEET: 
(Pease use the Print Button on your web browser to print the worksheet.)
The following six questions will help you determine if you might be eligible for a Life Insurance Settlement. 

If your total score is 14 or higher, you should complete an application. 
If your score is 10-13 points, call us to discuss your situation further. 
If your score is less than 10 points, you must have a score of five points or higher on the first two questions
to qualify for a Life Insurance Settlement.

1 – Male under 75 or female under 78.
2 – Male 75-78 or female 78-81.
3 – Male 79-83 or female 82-86.
4 – Male over age 83 or female over age 86.

1 – In good health.
2 – Minor health problems.
3 – Significant health problems.
4 – Have a terminal or catastrophic illness.

1 – Whole Life policy.
2 – Variable Life policy.
3 – Term or Joint Survivorship policy.
4 – Universal Life, or Joint Survivorship policy with one deceased person.

1 – Cash value exceeds 30% of the death benefit.
2 – Cash value is 20% to 29% of the death benefit.
3 – Cash value is 10% to 19% of the death benefit.
4 – Cash value is less than 10% of the death benefit.

1 – Loan value exceeds 30% of the death benefit.
2 – Loan value is 20% to 29% of the death benefit.
3 – Loan value is 10% to 19% of the death benefit.
4 – Loan value is less than 10% of the death benefit.

1 – Annual Premium exceeds 4% of death benefit.
2 – Annual Premium between 3% and 4% of death benefit.
3 – Annual Premium between 2% and 3% of death benefit.
4 – Annual Premium less than 2% of death benefit.

Total Score = ______ points.

If you need help scoring this worksheet, please call 203-879-2009.