skip to Main Content

Complete this form to apply for Whole Life Burial Expense insurance.

Guaranteed Whole Life Burial Insurance with no health questions and no medical exams. You cannot be turned down! Now you can access affordable market-leading rates with simplified online enrollment in a secure environment—resulting in a fast, convenient path from submission to approval.

Complete the quick app questionnaire below and click “Submit.”

The application will be emailed to you for your electronic signature .

Your new insurance policy will be issued in approximately 28 days.

Proposed Insured Information

Tell us about the coverage you are requesting.

reCAPTCHA is required.

Your information is only shared with a life insurance specialist. He or she is an expert in the field representing leading life insurance companies. Our life insurance specialist will respond to your request within 24 hours. We will NEVER share or sell your information. Guaranteed!
Back To Top