Monday 4 May 2009
Details required for quote
Date of Birth:
_ _/_ _/_ _ _ _
Sex:
Male
Female
State:
ACT
NSW
QLD
VIC
SA
Smoker:
Yes
No
Occupation:
Abalone Diver
Abattoir Worker
Accountant [registered CPA]
Accountant [not tert qualified, not CPA]
Actor
Actress
Actuary
Acupuncturist [registered in Australia]
Administration [film/television/radio]
Administration [manager – income >$100k & >10 staff]
Administration [manager –income <$100k or < 10 staff]
Administration [supervisor – office only]
Backhoe Operator
Bailiff
Baker [qualified]
Bank Manager
Annual Income:
Premium Type:
Stepped
Level
Frequency:
Monthly
Half Yearly
Yearly
Life Cover:
TPD:
TPD Type:
Own Occupation
Any Occupation
Home Duties
Trauma Cover:
Monthly Income:
Benefit Type:
Agreed Value
Indemnity
Waiting Period:
14 Days
30 Days
90 Days
180 Days
365 Days
Benefit Period:
2 Years
5 Years
To age 65
Income Policy Type:
Basic
Comprehensive
(benefit comparisons)