Louisiana Life Insurance.com

    1-888-456-1858 / 504-456-1858

Where you can call & consult with an expert for ten minutes, toll free !  or   Consult by email with an Expert!

Please answer with complete details the questions below:

Uninsurable ?.......Very Unlikely.........Take the 10 second Test !

   

HAZARDOUS SPORTS
SKIN / SCUBA DIVING:

A. Usual depth of dives?

B. Date and depth of deepest dive? How often at this depth?

C. Number of dives in last 12 months? Number of dives expected in the next 12 months?

D. Any special certifications?

E. Does client ever do any cave diving? If so, give
frequency and dates.

F. Answer ALL questions listed under
  #1 General Risk Profile

SKY DIVING:

A. What is the maximum altitude at which your client jumps?

B. Number of jumps in the last 12 months? Number of jumps expected in the next 12 months?

C. Any special certifications?

D. Is client considered an amateur who jumps with a club or does client do any jumps considered experimental?

E. Answer ALL questions listed under
 # 1 General Risk Profile (GREEN page)

 

RACING CARS, BOATS AND / OR MOTORCYCLES

A. What is the maximum speed at which your client drives during races?


B. If racing, what type of vehicle?

 

C. What type of event?

 

D. Classification of vehicle and type of track?

 

E. Is race sanctioned by any association?

 

F. How many races in the past 12 months? How many races expected in the next 12 months?

 

G. Answer ALL questions listed under #1 General Risk Profile (GREEN page)

 

 

                     Request a quote                                               Fax your medical reports to 504-885-4640

   Consult with an expert for ten minutes,  free.... call  1 888 456 1858