Application


Thank you for your interest in our Non Standard Disability Insurance!


Please select the state of the applicant so we can show you the appropriate forms and product literature.

Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
DC
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming


 

 

Alabama

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01074
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select


 

 

Arizona

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01074
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01040
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677_AZ
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00677_AZ
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Arkansas

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01082
Outline of Coverage: FSL_D00064_AR
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01041
Outline of Coverage: FSL_SD29-D00058_AR
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00925
Outline of Coverage: FSL_SD17-D00036_AR
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00925
Outline of Coverage: FSL_SD19-D00037_AR
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

California

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01074
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01040
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677_CA
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00677_CA
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Connecticut

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form:
FSL_a01074_CT

Brochure:
FSL_PlatSelect_Flyer

Product Details:
Platinum ez-Select


 

 

DC

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form:
FSL_a01074

Brochure:
FSL_PlatSelect_Flyer

Product Details:
Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01040
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677_DC
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00677_DC
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Delaware

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01074
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01040
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00677
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Florida

Platinum A graded 5 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00454FL396
Brochure: FSL_FL_Brochure
Product Details: Platinum

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00454FL396
Brochure: FSL_FL_Brochure
Product Details: Silver


 

 

Georgia

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01082_GA
Outline of Coverage: FSL_D-00064GA
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01041_GA
Outline of Coverage: FSL_SD29-D00058_GA
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00677
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Hawaii

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01074
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01040
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00677
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Idaho

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01082_ID
Outline of Coverage: FSL_D-00064ID
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select


 

 

Illinois

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01074
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01040
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00677
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Indiana

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01082_IN
Outline of Coverage: FSL_D00064_IN
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00925_IN
Outline of Coverage: FSL_SD17-D00036
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00925_IN
Outline of Coverage: FSL_SD19-D00037
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Iowa

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01074
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01040
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00677
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Kansas

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01082_KS
Outline of Coverage: FSL_D00064_KS
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select


 

 

Kentucky

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01074
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01040
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677_KY
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00677_KY
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Louisiana

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01082
Outline of Coverage: FSL_D00064_LA
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00925_LA
Outline of Coverage: FSL_SD17-D00036_LA
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00925_LA
Outline of Coverage: FSL_SD19-D00037_LA
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Maryland

Platinum A graded 5 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00925_MD
Outline of Coverage: FSL_SD16-D00036_MD
Brochure: FSL_ExecPlat_Flyer
Product Details: Platinum

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00925_MD
Outline of Coverage: FSL_SD17-D00036_MD
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00925_MD
Outline of Coverage: FSL_SD19-D00037_MD
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Massachusetts

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01074
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01040
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00677
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Michigan

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01082
Outline of Coverage: FSL_D00064_MI
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00925_MI
Outline of Coverage: FSL_SD17-D00036
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver


 

 

Minnesota

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01082_MN
Outline of Coverage: FSL_D00064_MN
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01041_MN
Outline of Coverage: FSL_SD29-D00058_MN
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00925_MN
Outline of Coverage: FSL_SD17-D00036_MN
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00925_MN
Outline of Coverage: FSL_SD19-D00037_MN
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Mississippi

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01074
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01040
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00677
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Missouri

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01074_MO
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01040_MO
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677_MO
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00677_MO
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Montan

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01082_MT
Outline of Coverage: FSL_SD34_D-00064MT
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select


 

 

Nebraska

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01074
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01040
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00677
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Nevada

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01074
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01040
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00677
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

New Jersey

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01074
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01040
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00677
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

New York

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSLNY_AN-7
Brochure: FSLNY_PlatSelect_Flyer
Product Details: Platinum ez-Select


 

 

North Carolina

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01082_NC
Outline of Coverage: FSL_SD34_D-00064NC
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01041_NC
Outline of Coverage: FSL_SD29-D00058_NC
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus


 

 

North Dakota

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01074
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00677
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Ohio

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01074
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01040
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677_OH
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00677_OH
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Oklahoma

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01082_OK
Outline of Coverage: FSL_D00064_OK
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01041
Outline of Coverage: FSL_SD29-D00058_OK
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus


 

 

Oregon

Platinum A graded 5 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_A00925OR
Outline of Coverage: FSL_SD16-D00036_OR
Brochure: FSL_ExecPlat_Flyer
Product Details: Platinum

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01082_OR(12-17)
Outline of Coverage: FSL_SD35_D-00064_OR(12-17)
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_A00925OR
Outline of Coverage: FSL_SD17-D00036_OR
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_A00925OR
Outline of Coverage: FSL_SD19-D00037_OR
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Pennsylvania

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01082_PA
Outline of Coverage: FSL_SD34_D-00064PA
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select


 

 

Rhode Island

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01074
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01040 
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00677
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

South Carolina

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01074
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01040 
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677_SC
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00677_SC
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

South Dakota

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01082_SD
Outline of Coverage: FSL_D00064_SD
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select


 

 

Tennessee

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01074
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01040 
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677_TN
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00677_TN
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Texas

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01082_TX
Outline of Coverage: FSL_D00064_TX
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01041_TX
Outline of Coverage: FSL_SD29-D00058
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00925_TX
Outline of Coverage: FSL_SD17-D00036
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00925_TX
Outline of Coverage: FSL_SD19-D00037
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Utah

Platinum A graded 5 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677
Brochure: FSL_ExecPlat_Flyer
Product Details: Platinum

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01082_UT
Outline of Coverage: FSL_SD34_D-00064UT
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00677
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Virginia

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01074
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01040 
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00677
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Washington

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01082_WA
Outline of Coverage: FSL_D00064_WA
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01041
Outline of Coverage: FSL_SD29-D00058_WA
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00925_WA
Outline of Coverage: FSL_SD17-D00036_WA
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00925_WA
Outline of Coverage: FSL_SD19-D00037_WA
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

West Virginia

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01074_WV
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01040_WV 
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00677
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Wisconsin

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01074_WI
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01040_WI 
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00677
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Wyoming

Platinum ez-Select A Guaranteed renewable graded plan with a wide selection of Benefit periods for applicants with sub-standard medical conditions.

Form: FSL_a01074
Brochure: FSL_PlatSelect_Flyer
Product Details: Platinum ez-Select

Platinum Plus A Guaranteed renewable graded 5 year benefit plan for applicants with sub-standard medical conditions

Form: FSL_a01040 
Brochure: FSL_PlatPlus_Flyer
Product Details: Platinum Plus

Silver A graded 2 year benefit plan for applicants with sub-standard medical conditions.

Form: FSL_a00677
Brochure: FSL_ExecSilver_Flyer
Product Details: Silver

Blue A non-graded 2 year benefit plan for applicants with substandard occupations.

Form: FSL_a00677
Brochure: FSL_ExecBlue_Flyer
Product Details: Blue


 

 

Not Available

Our apologies, but no products are available in these states: Alaska, Colorado, Maine, New Hampshire, New Mexico, Vermont.