Search     .: Home   .: Contact An Agent   .: About Us   .: Choice+ Newsletter         Critical Illness One of the foremost critical illness policies was designed by a doctor. He saw his patients survive and thrive physically after illnesses that once would have been fatal. The problem was they were devastated financially. According to a recent Harvard study over 47% of bankruptcies were caused by medical bills. Critical Illness policies pay a cash benefit at the onset of an illness and are quite affordable. Think of who you know who has had a critical illness and how some extra cash would have helped their life. To learn more about how Critical Illness can protect your assets please submit a quote request: Contact Name   Email   Address   City   State   Zip   Day Time Phone   Who is this quote for? Self Spouse Children Other If Children is selected, please choose the number   Applicant   Age   Gender   Male Female Smoking Status   Smoker Non-Smoker Height   Weight   Spouse   Age   Gender   Male Female Smoking Status   Smoker Non-Smoker Height   Weight   Please list any medications, health issues, or comments here. Please list here if you and your spouse's natural parents, brothers or sisters, whether living or deceased, have been diagnosed with the same conditions(s) from the following: Heart disease, stroke, diabetes, kidney disease, or breast cancer before age 60? Colorectal cancer or Alzheimer's or Senile dementia before age 75? Any other same cancer in both relatives before age 55? If I am on a National or State DO NOT CALL List/DO NOT CONTACT List, by clicking on the above “Submit” button and submitting my contact information which includes my phone number and/or email address, you are authorized to contact me by telephone and email for the three (3) month period following date of this consent. We do not do business from California, nor do we collect any identifiable information from anyone. If you are from California, please DO NOT fill out the form. Done in compliance with the California Online Privacy Protection Act. Your information is confidential with Choice Plus Insurance and it's partner affiliations.       .: Health   .: Life   .: Accident   .: Dental   .: Group Health   .: Critical Illness   .: Long Term Care Chris Davies, CSA       Website managed by ChurchMouse Media | Terms Of Use | Privacy Statement | © 2005 Choice Plus Insurance LLC. All rights reserved.