Life Insurance – Angela Asido Insurance Agency

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Contact

(626) 966-5107

What is Life Insurance?

Life Insurance pays your family money if you pass away. There are 2 types of basic types:

Term life which provides coverage for a specific period of time usually between 10 – 30 years.
Permanent Life which has 2 main types: whole life and universal life

Reasons why You need Life Insurance

You plan on having children
You plan on getting married
You financially support you parents who are getting older
You job is considered high risk
You have hobbies that are considered extreme

Please fill out the form below or give us a call (626-966-5107) and we will be very happy to help you purchase quality and affordable life insurance today!

Name *

First

Last

Date of Birth *//

Gender *

Male
Female
I prefer not to say

Marital Status *

Email *

Phone *

Do you currently have life insurance? *

Yes
No

Are you currently employed? *

Unemployed
Full-Time
Part-Time
Retired

Do you smoke? *

Yes
No

Have you ever been treated for any of the following medical conditions? (This helps us find affordable rates even if you have less than perfect health.) *

Alcohol or substance abuse
Cancer
Chronic Pain
Depression or anxiety
Diabetes
Heart or circulatory issue
Respiratory disorder
Sleep apnea
Other medical conditions
I have no medical conditions
I choose not to answer this question

Do you have any children? *

Yes
No

What is the amount of life insurance coverage you desire? *