How To Use The Rebalancing Beneficiaries Quote

Rebalancing Beneficiaries Support Insurance allows an insurance policy to secure your payments while allowing additional beneficiaries such as children or a new partner to be included on the policy.

  1. If you are a Consumer please complete your personal insurance requirement below.
  2. If you are a Professional, who is completing the information for your client, please provide your business information and your client’s personal information below.
  3. Please consider the specific requirements for Life and Critical Illness Insurance. Your questions can be explained more fully by a licensed Insurance Advisor or on the websites for our participating Insurance Companies.
  4. When you press the Submit For A Quote button your information will be forwarded to Come To Agreement’s Insurance Department and email addresses on the Quotation Form will be copied for your records.

Form Errors


Separation & Divorce Insurance (Quotation Info)

For Information or help completing this form please contact:
Insurance@ComeToAgreement.com | 1 (855) TO-AGREE 862-4733
Please select if you are a Consumer or a Professional:
I am a Consumer I am a Professional

Professional Info

Name:
Company/Firm:
Email Address:
Phone/Ext:

Insurance Specifics

Type of Life Insurance:
Beneficiary:
Length of Coverage:
Amount of Insurance:
Amount for Critical Illness:
Premiums Paid:

Personal Information

First Name:
Middle
Last Name
Email Address:
Phone: (Office)
Ext.
Phone: (Home/Cell)
Province:
Postal Code
Birth Date
Gender
Do you smoke? Yes No
Have you smoked within the last 12 months? Yes No
Health Class: Excellent Good Average Poor
Medical Health Notes (Optional)
Do you currently have life insurance? Yes No
Height:
Feet/Inches Metre/cm
Weight:
Pounds (lbs) Kilos (kg)

Privacy Policy

Come To Agreement is committed to protect your personal and professional information according to our Privacy Policy as required by government regulations. Come To Agreement will take all reasonable measures to protect your privacy when you use this Service. Our Terms of Use ensures all personal information and data will not be sold, traded or given away for any reason, whatsoever.

Disclaimer

Come To Agreement’s Separation & Divorce Insurance Calculator does not replace the advice from a Family Lawyer, Family Mediator, Insurance Advisor, Financial Planner or an Accountant. Our representatives do not provide professional advice unless licensed to do so. Prospective clients should contact a Professional regarding their financial or legal situation. The support calculators and insurance calculator are designed to be informational and illustrative tools only and are not intended as professional advice. We cannot and do not guarantee their completeness, applicability or accuracy with regard to your individual circumstances. We strongly recommend you seek the advice of a professional before making any legal, financial or insurance decisions.

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Calculate your insurance needs and secure your support payments with Rebalancing Beneficiaries Support Insurance.