CHECK MY RATES
HOW HEALTHY ARE YOU?
PREFERRED / STANDARD / GRADED
PREFERRED / STANDARD / GRADED
Smoker?
YES
NO
Diabetic?
NO
PILL FORM
INSULIN
HEIGHT / WEIGHT
NORMAL
SLIGHTLY ABOVE
ABOVE
PREVIOUS HEALTH ISSUES?
HEART ATTACK
STROKE
CANCER (other than skin Cancer)
STENT, PACEMAKER, A-FIB
2 OR MORE APPLY
NONE
RATED
ACCEPT ALL MEDICAL CONDITIONS (MOST REQUIRE 2 YR WAIT)
STANDARD
LENIENT MEDICAL HISTORY & HEIGHT/WEIGHT GUIDELINES
PREFERRED
STRICTER MEDICAL HISTORY & HEIGHT/WEIGHT GUIDELINES