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Your Income Protection Insurance with Fracture Cover Quote


This form should take less than 60 seconds to complete.

1 Your Policy Requirements


In order to provide you with an accurate quote for Income Protection Insurance with Fracture Cover, we will need to ask you a few questions.

Please answer all questions truthfully and to the best of your knowledge. Your insurer could change or cancel your policy, refuse to pay on a claim or only partially pay the claim if these details are not correct.

Typically you can insure up to 70% of your gross income whether employed or self-employed, and at this level you should be able to maintain your current lifestyle. If you make a claim, the monthly payments are tax-free.

The longer you wait for the insurance to pay out, the cheaper the premiums.

How long do you want the payout from a claim to last? *

2 About You

What is your date of birth? *
Have you smoked or used a tobacco/nicotine product in the past 12 months?
What is the second applicant's full name? *
What is their date of birth? *
Have they smoked or used a tobacco/nicotine product in the past 12 months?

3 Options

What is your address?

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