Convertible Term

Convertible Term Assurance

Like Renewable Term Assurance, this type of term assurance contains an option at the end of the term. This time it is to convert it into a whole of life policy without the need for a medical. The option must be exercised before the plan ends. The level of protection cannot be increased upon conversion and, although your health is not taken into consideration at the time of conversion, the terms offered will be based on your age.

• Option at specified dates to convert your protection-only policy into an investment type insurance policy based on your health at the time you took out the original term insurance.
• The agreement requires that premiums are paid on time and that the insurer makes no changes except if a premium change is made for an entire class of policyholder

Please be aware that in some cases this type of assurance is based on an assessment of the health of the applicant.

PROTECTION ENQUIRY FORM

TitleMrMrsMissMs

Best time to call - Please SelectMorningAfternoonEvening

Your Address

Cover Required

Life cover productTermMortgage ProtectionWhole of LifeFamily Income Benefit

Renewable

Premium typeGuaranteedReviewable

Premium frequencyMonthly PremiumAnnual Premium

I Would also like to consider critical illness

Lives Assured

Cover TypeSingle LifeJoint Life

1st Life Assured

Previous health problemsYesNo

SexMaleFemale

SmokerYesNo

2nd Life Assured

Previous health problemsYesNo

SexMaleFemale

SmokerYesNo

Marketing Information

How did you hear about usSearch EngineExisting ClientFrom FriendSaw AdvertisementOther

Sensitive Personal Data

We may need to collect sensitive personal data including information about your health, ethnic origin, or criminal prosecutions from third parties such as employers and credit reference agencies, fraud prevention agencies and other similar organisations in order to provide you with the services, for example where you require advice on protection or mortgages products.

If you consent to us obtaining your sensitive personal data from third parties referred to above for the purpose of providing you with the services, and sharing it with third party providers and TenetConnect to obtain quotes on your behalf, for example where we are providing you with mortgage or protection advice as part of our services, please tick this box.

Submit your Information

From time to time, we would like to contact you with details about our services, products, business updates and events. If you consent to us contacting you for this purpose please tick to say how you would like us to contact you:

How should we contact you?

Email

Telephone

Post

Yes please, I'd like to hear about offers and services.

No thanks, I don't want to hear about offers and services.

Please tick this box to confirm you have read and understood our privacy policy.