Disability Income Insurance

Disability Income Insurance

When a wage earner is too sick or hurt ot earn an income, the impact can be life changing. How would you pay your bills if you couldn't work due to a debilitating illness or accident? How long could you pay your bills if your paycheck suddenly stopped coming in?

Please fill out the questionnaire below to receive a quote for disability income insurance:

For a disability income insurance quote, please click on the email link below and enter the following information. You can copy this block of questions and then paste it into the email you will be sending to us. Be sure to fill in the requested information.

Name:

Date of birth:

Gender:

Smoker or non-smoker:

Occupation:

Rate your health (Excellent, Good/Average, Poor):

Height:

Weight:

Your current annual income: $

Amount of monthly benefit desired: $

Do you have Long-term Disability (LTD) benefits through your employer? Yes/No

--If yes, how much does it pay (i.e. 60% of your salary, etc):

How do you prefer to be contacted? email, phone, mail, etc.

Keystone Financial Edge, Inc

PO Box 95895 (2838 W 9760 S), South Jordan, UT 84095-0895

Phone: (801) 446-2520 t Toll free: (800) 890-9842 t Fax: (801) 446-2521

Securities and Investment Advisory Services Offered through H. Beck, Inc., Member FINRA, SIPC

H. Beck, Inc. and Keystone Financial Edge, Inc are unaffiliated entities.


	Keystone Financial Edge, Inc PO Box 95895 (2838 W 9760 S), South Jordan, UT 84095-0895 Phone: (801) 446-2520 t Toll free: (800) 890-9842 t Fax: (801) 446-2521 Securities and Investment Advisory Services Offered through H. Beck, Inc., Member FINRA, SIPC H. Beck, Inc. and Keystone Financial Edge, Inc are unaffiliated entities.