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High Limit Accident Insurance Quote

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Step 1 of 2

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Please note:

Automatic approval is only available for residents of
Costa Rica, Panama, Ecuador, Colombia, Peru.

Please continue with the quoting process


3. Current Occupation?

Type your current occupation

Please explain your occupation
4. Do you have any other Accidental Death (AD&D) coverage inforce ?
Yes      No

Insurance carrier Coverage end date Amount of insurance Type of Insurance
5. Have you ever suffered from any physical or mental impairment/infirmity/deformity or any condition that may affect your mobility, sight, hearing, speech?
Yes      No
6. Have you ever suffered from arthritis, gout, paralysis, epilepsy or any other seizure disorder?
Yes      No
7. Have you ever suffered from high blood pressure, heart condition, rheumatic fever or diabetes?
Yes      No
8. Do you engage in any hazardous sports or any other activity that exposes you to extra personal injury such as scuba diving, mountaineering, hand gliding, parachuting, base jumping, bungee jumping, winter sports, water sports, horseback riding, potholing, auto or motorcycle racing?
Yes      No

Step 2 of 2

Yes       No

How many hours flown in last 12 months?
Estimated hours flying in the NEXT 12 months?
What Purpose?
Air Craft Information?
Privately Owned
Third Party Charter Service Company

Type of license held
License date of issue
Do you hold a valid instrument rating?
Purpose of current flying
Total hours flown as a pilot/crew member
Total hours flown last 24 months
Total hours expected to fly next 12 months
Date of last flight
What aircraft do you currently fly (full description)
Total hours in aircraft currently flying
Do you expect any change your flying plans or aircraft flown in the next 12 months? (No/ If Yes, Please explain)
Do you engage in any of the following aviation activities (Check all that apply)
Flight transport
Sight seeing
Stunt flying
Commercial photography
Flight instructor
Crop dusting
Medical Certificate
Date of last renewal of certificate
Has your medical certificate ever been denied?
(No/ If Yes, Please explain)
Have you even been in an accident, been fined or grounded for a violation or air relations? (No/ If Yes, Please explain)
Please describe any other additional flying experience not mentioned above
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Accidental Death Insurance

What Does an AD&D Policy Cover?

Accidental Death insurance covers your death as a result of a covered accident. We do offer several different types of accidental death coverage:

  • 24 Hour Accidental Death – Is basically round the clock coverage anywhere around the world. This is the most comprehensive coverage available.
  • Common Carrier Accidental Death – Provides coverage when traveling as a passenger on any form of public transportation certified as a common carrier of passengers, including air travel.
  • Flight Accidental Death - Provides coverage only when traveling on a passenger aircraft provided by a commercial airline on a regularly schedule, special or charted flight operated by a properly certified pilot.


Why Accident Insurance?

Accidents can happen anywhere, accidental death insurance provide essential protection to help ease the financial burden should the unexpected happen. Keep in mind accidental deaths are the fifth leading cause of death in the United States and Canada*, an accidental death policy can provide financial peace of mind at a very affordable cost.

* Accidents or Unintentional Injuries by Centers for Disease Control and Prevention, January 2012

Additional Specialized Coverage Riders:


Permanent Total Disability (PTD)

Medical Expenses

War & Terrorism

Private Aircraft Passenger

Hazardous Countries

Accidental death and dismemberment insurance (AD&D) offers protection for you and your family if you are seriously injured or killed in an accident. An AD&D policy provides financial benefits in the event you are killed, lose a limb, become blind, or are paralyzed in a covered accident.

Get covered today! With no medical exams required, long application forms to complete or waiting periods to deal with, apply and be automatically approved in minutes. If you are between the ages of 18 and 80, you are guaranteed approval, regardless of your health or occupation.

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Plan Special Features:

  • High Limits Up to $50 Million
  • 30 day money back guarantee
  • No Medical Exam Required!
  • Must be between 18-75 years of age
  • Automatic Approval regardless of health
  • Life & accident protection in minutes!
  • Benefits are paid in addition to any other existing policy


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