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Type
Term
Permanent
Both
Client Name
Date of Birth or Age
Sex
Male /
Female
State
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Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
Dist. of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Amount of Insurance
Payment Option
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Annual
Semi-Annual
Quarterly
Monthly
Desired Length
Health Class
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Preferred Best Non-Tobacco
Preferred Non-Tobacco
Standard Best Non-Tobacco
Standard Non-Tobacco
Preferred Tobacco
Standard Tobacco
Product Preferences
Riders
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Accidental Death Benefit
Waiver of Premium
Return of Premium
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