|  | | | HOW TO APPLY | | 1. Complete Enrollment Application and Submit Information | To apply for $50,000 to $100,000
of coverage, complete this form >>>> | | Simplified Issue Application For Term Life Insurance ($50,000 or $100,000) | | | | | | To apply for $150,000 to $250,000 of coverage, complete this form >>>> | | Application For Term Life Insurance
($150,000 to $250,000) | | | | | | If you are over 50 or wish to obtain more than $250,000 of coverage or cannot qualify for the above plans because of health conditions*, please contact | | Ed Sterczek
Toll Free: 800-349-1039
E-Mail: soma@mmicinsurance.com | | | | |
| | 2. Premiums are paid by debit/credit card transactions (VISA or MasterCard) only. | | | | *Individual coverage is not underwritten by Life Insurance Company of North America. | | | |
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