SUMMARY SHEET | Alpha Integrity Life

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American Income Life Insurance Company
Summary Sheet

Applicant's Name

DOB

Phone

Email

Spouse's Name

DOB

Spouse Phone

Spouse Email

Final Expense
Freedom of Choice (Natural Death)

Insured:

Coverage Amount:

Insured Spouse:

Coverage Amount:

Income Protection

Insured:

Insured Spouse:

Amount x Months

Amount X Months

Mortgage Insurance
Insurance to help cover mortgage costs if insured dies (Natural Death)

Insured:

Initial Coverage Amount

Accidental Death Benefit to help cover mortgage costs if insured dies accidentally

Insured:

Initial Coverage Amount

Children's Education
(Natural, step, or legally adopted children are eligible)

Coverage Amount Per Covered Child

Additional Benefits

What I like best about the program:

Affiliation

Premium $

Draft Day

Agent Name

Local Agency Office Phone #: 1-800-686-0042

This summary sheet is a detail of insurance policies applied for though American Income Life and is not a guarantee of insurability. If you qualify, you will receive your issued policy(ies). Ready your policy(ies) carefully when received and contact us or your agent if you have any questions. The policy(ies) will provide full details of the coverage issued. The premium amount may vary from the quote based on considerations such as health history, eligibility information, and application date.

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