Your Income Protection Insurance Online Quote 99% of customers will be able to view personalised quotes online 1 Policy Requirements Type of Cover: Accident & Sickness Monthly Income Required (i.e. take-home pay): ? Monthly Income Required... Typically you can insure up to 65% of your gross income, whether an employee or self-employed, and at this level you should be able to maintain your current lifestyle. If you make a claim, the monthly pay-outs are tax free. Repayment Interest-Only Unknown None Combined Repayment & Interest-Only Waiting Period: ? Waiting Period This is the period of time you have to be out of work before any claim will be paid. The greater the waiting period, the more your monthly insurance premiums will reduce. 1 Week 1 Month † 2 Months 3 Months ‡ 6 Months † Widest choice ‡ Best value How long do you want the payout from a claim to last? 1-5 years Until Retirement Employment Status: Employed Self Employed Company Director * * tax-saving benefits available What is your Company Name? What is your Job Title? ? Occupation Type Occupation type is an important part of the underwriting process. What is your date of birth? Day of birth: DD 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month of birth: MM January February March April May June July August September October November December Year of birth: YYYY 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 Just so you know, for this amount of cover for a year old some insurers may require extra information from your Doctor (the age used is that of the oldest applicant). 2 Health & LifeStyle Have you smoked or used a tobacco/nicotine product in the past 12 months? No Yes Do you have (or have you ever had) any form of cancer, heart condition, diabetes or stroke? No Yes Are you currently awaiting results of any health tests or investigations? No Yes Is your BMI over 32? Calculate your BMI No Yes Metric Height (cm) 122cm 123cm 124cm 125cm 126cm 127cm 128cm 129cm 130cm 131cm 132cm 133cm 134cm 135cm 136cm 137cm 138cm 139cm 140cm 141cm 142cm 143cm 144cm 145cm 146cm 147cm 148cm 149cm 150cm 151cm 152cm 153cm 154cm 155cm 156cm 157cm 158cm 159cm 160cm 161cm 162cm 163cm 164cm 165cm 166cm 167cm 168cm 169cm 170cm 171cm 172cm 173cm 174cm 175cm 176cm 177cm 178cm 179cm 180cm 181cm 182cm 183cm 184cm 185cm 186cm 187cm 188cm 189cm 190cm 191cm 192cm 193cm 194cm 195cm 196cm 197cm 198cm 199cm 200cm 201cm 202cm 203cm 204cm 205cm 206cm 207cm 208cm 209cm 210cm 211cm 212cm 213cm Weight (kg) 45kg 46kg 47kg 48kg 49kg 50kg 51kg 52kg 53kg 54kg 55kg 56kg 57kg 58kg 59kg 60kg 61kg 62kg 63kg 64kg 65kg 66kg 67kg 68kg 69kg 70kg 71kg 72kg 73kg 74kg 75kg 76kg 77kg 78kg 79kg 80kg 81kg 82kg 83kg 84kg 85kg 86kg 87kg 88kg 89kg 90kg 91kg 92kg 93kg 94kg 95kg 96kg 97kg 98kg 99kg 100kg 101kg 102kg 103kg 104kg 105kg 106kg 107kg 108kg 109kg 110kg 111kg 112kg 113kg 114kg 115kg 116kg 117kg 118kg 119kg 120kg 121kg 122kg 123kg 124kg 125kg 126kg 127kg 128kg 129kg 130kg 131kg 132kg 133kg 134kg 135kg 136kg 137kg 138kg 139kg 140kg 141kg 142kg 143kg 144kg 145kg 146kg 147kg 148kg 149kg 150kg Calculate Imperial Height 4 ft 0 ins 4 ft 1 ins 4 ft 2 ins 4 ft 3 ins 4 ft 4 ins 4 ft 5 ins 4 ft 6 ins 4 ft 7 ins 4 ft 8 ins 4 ft 9 ins 4 ft 10 ins 4 ft 11 ins 5 ft 0 ins 5 ft 1 ins 5 ft 2 ins 5 ft 3 ins 5 ft 4 ins 5 ft 5 ins 5 ft 6 ins 5 ft 7 ins 5 ft 8 ins 5 ft 9 ins 5 ft 10 ins 5 ft 11 ins 6 ft 0 ins 6 ft 1 ins 6 ft 2 ins 6 ft 3 ins 6 ft 4 ins 6 ft 5 ins 6 ft 6 ins 6 ft 7 ins 6 ft 8 ins 6 ft 9 ins 6 ft 10 ins 6 ft 11 ins 7 ft 0 ins Weight 7 st 2 lbs (100 lbs) 7 st 3 lbs (101 lbs) 7 st 4 lbs (102 lbs) 7 st 5 lbs (103 lbs) 7 st 6 lbs (104 lbs) 7 st 7 lbs (105 lbs) 7 st 8 lbs (106 lbs) 7 st 9 lbs (107 lbs) 7 st 10 lbs (108 lbs) 7 st 11 lbs (109 lbs) 7 st 12 lbs (110 lbs) 7 st 13 lbs (111 lbs) 8 st 0 lbs (112 lbs) 8 st 1 lbs (113 lbs) 8 st 2 lbs (114 lbs) 8 st 3 lbs (115 lbs) 8 st 4 lbs (116 lbs) 8 st 5 lbs (117 lbs) 8 st 6 lbs (118 lbs) 8 st 7 lbs (119 lbs) 8 st 8 lbs (120 lbs) 8 st 9 lbs (121 lbs) 8 st 10 lbs (122 lbs) 8 st 11 lbs (123 lbs) 8 st 12 lbs (124 lbs) 8 st 13 lbs (125 lbs) 9 st 0 lbs (126 lbs) 9 st 1 lbs (127 lbs) 9 st 2 lbs (128 lbs) 9 st 3 lbs (129 lbs) 9 st 4 lbs (130 lbs) 9 st 5 lbs (131 lbs) 9 st 6 lbs (132 lbs) 9 st 7 lbs (133 lbs) 9 st 8 lbs (134 lbs) 9 st 9 lbs (135 lbs) 9 st 10 lbs (136 lbs) 9 st 11 lbs (137 lbs) 9 st 12 lbs (138 lbs) 9 st 13 lbs (139 lbs) 10 st 0 lbs (140 lbs) 10 st 1 lbs (141 lbs) 10 st 2 lbs (142 lbs) 10 st 3 lbs (143 lbs) 10 st 4 lbs (144 lbs) 10 st 5 lbs (145 lbs) 10 st 6 lbs (146 lbs) 10 st 7 lbs (147 lbs) 10 st 8 lbs (148 lbs) 10 st 9 lbs (149 lbs) 10 st 10 lbs (150 lbs) 10 st 11 lbs (151 lbs) 10 st 12 lbs (152 lbs) 10 st 13 lbs (153 lbs) 11 st 0 lbs (154 lbs) 11 st 1 lbs (155 lbs) 11 st 2 lbs (156 lbs) 11 st 3 lbs (157 lbs) 11 st 4 lbs (158 lbs) 11 st 5 lbs (159 lbs) 11 st 6 lbs (160 lbs) 11 st 7 lbs (161 lbs) 11 st 8 lbs (162 lbs) 11 st 9 lbs (163 lbs) 11 st 10 lbs (164 lbs) 11 st 11 lbs (165 lbs) 11 st 12 lbs (166 lbs) 11 st 13 lbs (167 lbs) 12 st 0 lbs (168 lbs) 12 st 1 lbs (169 lbs) 12 st 2 lbs (170 lbs) 12 st 3 lbs (171 lbs) 12 st 4 lbs (172 lbs) 12 st 5 lbs (173 lbs) 12 st 6 lbs (174 lbs) 12 st 7 lbs (175 lbs) 12 st 8 lbs (176 lbs) 12 st 9 lbs (177 lbs) 12 st 10 lbs (178 lbs) 12 st 11 lbs (179 lbs) 12 st 12 lbs (180 lbs) 12 st 13 lbs (181 lbs) 13 st 0 lbs (182 lbs) 13 st 1 lbs (183 lbs) 13 st 2 lbs (184 lbs) 13 st 3 lbs (185 lbs) 13 st 4 lbs (186 lbs) 13 st 5 lbs (187 lbs) 13 st 6 lbs (188 lbs) 13 st 7 lbs (189 lbs) 13 st 8 lbs (190 lbs) 13 st 9 lbs (191 lbs) 13 st 10 lbs (192 lbs) 13 st 11 lbs (193 lbs) 13 st 12 lbs (194 lbs) 13 st 13 lbs (195 lbs) 14 st 0 lbs (196 lbs) 14 st 1 lbs (197 lbs) 14 st 2 lbs (198 lbs) 14 st 3 lbs (199 lbs) 14 st 4 lbs (200 lbs) 14 st 5 lbs (201 lbs) 14 st 6 lbs (202 lbs) 14 st 7 lbs (203 lbs) 14 st 8 lbs (204 lbs) 14 st 9 lbs (205 lbs) 14 st 10 lbs (206 lbs) 14 st 11 lbs (207 lbs) 14 st 12 lbs (208 lbs) 14 st 13 lbs (209 lbs) 15 st 0 lbs (210 lbs) 15 st 1 lbs (211 lbs) 15 st 2 lbs (212 lbs) 15 st 3 lbs (213 lbs) 15 st 4 lbs (214 lbs) 15 st 5 lbs (215 lbs) 15 st 6 lbs (216 lbs) 15 st 7 lbs (217 lbs) 15 st 8 lbs (218 lbs) 15 st 9 lbs (219 lbs) 15 st 10 lbs (220 lbs) 15 st 11 lbs (221 lbs) 15 st 12 lbs (222 lbs) 15 st 13 lbs (223 lbs) 16 st 0 lbs (224 lbs) 16 st 1 lbs (225 lbs) 16 st 2 lbs (226 lbs) 16 st 3 lbs (227 lbs) 16 st 4 lbs (228 lbs) 16 st 5 lbs (229 lbs) 16 st 6 lbs (230 lbs) 16 st 7 lbs (231 lbs) 16 st 8 lbs (232 lbs) 16 st 9 lbs (233 lbs) 16 st 10 lbs (234 lbs) 16 st 11 lbs (235 lbs) 16 st 12 lbs (236 lbs) 16 st 13 lbs (237 lbs) 17 st 0 lbs (238 lbs) 17 st 1 lbs (239 lbs) 17 st 2 lbs (240 lbs) 17 st 3 lbs (241 lbs) 17 st 4 lbs (242 lbs) 17 st 5 lbs (243 lbs) 17 st 6 lbs (244 lbs) 17 st 7 lbs (245 lbs) 17 st 8 lbs (246 lbs) 17 st 9 lbs (247 lbs) 17 st 10 lbs (248 lbs) 17 st 11 lbs (249 lbs) 17 st 12 lbs (250 lbs) 17 st 13 lbs (251 lbs) 18 st 0 lbs (252 lbs) 18 st 1 lbs (253 lbs) 18 st 2 lbs (254 lbs) 18 st 3 lbs (255 lbs) 18 st 4 lbs (256 lbs) 18 st 5 lbs (257 lbs) 18 st 6 lbs (258 lbs) 18 st 7 lbs (259 lbs) 18 st 8 lbs (260 lbs) 18 st 9 lbs (261 lbs) 18 st 10 lbs (262 lbs) 18 st 11 lbs (263 lbs) 18 st 12 lbs (264 lbs) 18 st 13 lbs (265 lbs) 19 st 0 lbs (266 lbs) 19 st 1 lbs (267 lbs) 19 st 2 lbs (268 lbs) 19 st 3 lbs (269 lbs) 19 st 4 lbs (270 lbs) 19 st 5 lbs (271 lbs) 19 st 6 lbs (272 lbs) 19 st 7 lbs (273 lbs) 19 st 8 lbs (274 lbs) 19 st 9 lbs (275 lbs) 19 st 10 lbs (276 lbs) 19 st 11 lbs (277 lbs) 19 st 12 lbs (278 lbs) 19 st 13 lbs (279 lbs) 20 st 0 lbs (280 lbs) 20 st 1 lbs (281 lbs) 20 st 2 lbs (282 lbs) 20 st 3 lbs (283 lbs) 20 st 4 lbs (284 lbs) 20 st 5 lbs (285 lbs) 20 st 6 lbs (286 lbs) 20 st 7 lbs (287 lbs) 20 st 8 lbs (288 lbs) 20 st 9 lbs (289 lbs) 20 st 10 lbs (290 lbs) 20 st 11 lbs (291 lbs) 20 st 12 lbs (292 lbs) 20 st 13 lbs (293 lbs) 21 st 0 lbs (294 lbs) 21 st 1 lbs (295 lbs) 21 st 2 lbs (296 lbs) 21 st 3 lbs (297 lbs) 21 st 4 lbs (298 lbs) 21 st 5 lbs (299 lbs) 21 st 6 lbs (300 lbs) 21 st 7 lbs (301 lbs) 21 st 8 lbs (302 lbs) 21 st 9 lbs (303 lbs) 21 st 10 lbs (304 lbs) 21 st 11 lbs (305 lbs) 21 st 12 lbs (306 lbs) 21 st 13 lbs (307 lbs) 22 st 0 lbs (308 lbs) 22 st 1 lbs (309 lbs) 22 st 2 lbs (310 lbs) 22 st 3 lbs (311 lbs) 22 st 4 lbs (312 lbs) 22 st 5 lbs (313 lbs) 22 st 6 lbs (314 lbs) 22 st 7 lbs (315 lbs) 22 st 8 lbs (316 lbs) 22 st 9 lbs (317 lbs) 22 st 10 lbs (318 lbs) 22 st 11 lbs (319 lbs) 22 st 12 lbs (320 lbs) 22 st 13 lbs (321 lbs) 23 st 0 lbs (322 lbs) 23 st 1 lbs (323 lbs) 23 st 2 lbs (324 lbs) 23 st 3 lbs (325 lbs) 23 st 4 lbs (326 lbs) 23 st 5 lbs (327 lbs) 23 st 6 lbs (328 lbs) 23 st 7 lbs (329 lbs) 23 st 8 lbs (330 lbs) Calculate 3 Personal Details What is your full name? First name: Last name: What is your title? Mr Mrs Miss Ms Dr Other What’s your postcode? Postcode What’s your phone number? Most people only buy this type of insurance once or twice in a lifetime, and it makes sense to speak to a specialist adviser (based here in the UK) - they can match your personal requirements and your health profile with the best insurer. PLUS advisers offer better deals than you can get online!“Just One Call, One Adviser” When are you looking to get covered? ASAP Within 30 Days Just Looking What’s your email address 99% of customers will be able to view personalised income protection quotes online * By clicking the button above, you agree that you have read and understood our Privacy Policy and agree for your information to be used to provide you with a quotation. Need help? Call on 01604 436919
