High Risk Insurance Specialist Request a FREE Life Insurance Quote Gender: MaleFemale Smoke? YesNo Province: Ontario Please leave this field empty. Birth Date: JanFebMarAprMayJunJulAugSepOctNovDec 12345678910111213141516171819202122232425262728293031 1915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990 Health Risk: StandardPreferred Face Amount: $50,000$75,000$100,000$150,000$200,000$250,000$300,000$350,000$400,000$450,000$500,000$600,000$700,000$750,000$800,000$900,000$1,000,000$1,250,000$1,500,000$1,750,000$2,000,000$2,500,000$3,000,000$5,000,000$6,000,000$7,000,000$8,000,000$9,000,000$10,000,000 Payment: MonthlyQuarterlySemi-AnnualAnnual Product Type: 10 Year Term20 Year Term30 Year TermWhole Life / Life PayWhole Life / 20 PayWhole Life / Quick PayUniversal Life Term 100