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Disability Insurance Request To Quote


What is disability Insurance?

If you become disabled, your ability to earn income may be compromised, and your ability to pay bills or save for retirement may decline. Our disability insurance plans are designed to help you meet your income requirements so you can concentrate on recovering from your disability and returning to an active life.


Tell us about yourself
Province
E-Mail (REQUIRED):
E-Mail again for accuracy:
Phone:
Fax (optional):
 
Marital Status:
Single Married
Currently Employed?
Yes No
 
Disability Ins. Currently?
(If yes, list carrier, and # of years
continuous. If none, type N/C)


UNDERWRITING INFORMATION
   

Insured Height: Insured Weight:
Insured Occupation: Sex (M/F):
Exact Work Duties: Type of Business:
# of Months Worked per year: # of Hours Worked per week:
% of work at home: % % of work Outside home: %
Monthly Wage
(gross income)
$ Do You Smoke?
Yes
No
 
Are Your Covered By:
Employment Insurance? Yes No
Disability Insurance? Yes No
Workers Compensation? Yes No
 
Please Check the other coverage you
may be desiring to have with your disability plan:

Income Replacement   Overhead Expenses  
Business Loan/Buy-Sell   Critical Illness/Long Term Care

In Dollars, How much of
a monthly benefit do you want?

$
 
When Do You Want Your
Disability Policy to Begin?
 
Choose Waiting Period:
(The time that will elapse before your disability payments begin)
30 Days
60 days
90 days
180 days
 
Choose Benefit Period:
(The amount of time you will receive benefits for)
5 Years
10 Years
To Age 65
 
List any current health problems here:

Tell Us What You Want MOST in your Disability Plan, or list any other Remarks here:


Send my quotation via: E-Mail Fax
Regular Mail
Call me by Phone!

Thank you for filling out this form COMPLETELY!

We value your input as PRIVATE information. Every step has been taken to insure your privacy, security, and our intent is to release quote information only to you. We will not give your data to ANY other person or group for sales, marketing, or ANY other purposes. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release us from any liability should this information be accidentally viewed by others. Our intention is to maintain your complete privacy.

Yes, I Agree. Please Send Me My
Disability Insurance Quote NOW!

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What we can offer to help you protect your income, savings and quality of life:

 
  • I offer a wide range of disability insurance products in order to also preserve the profitability of business owners in case of disability or the disability of a key person.
  • I offer guaranteed renewable disability insurance products that will allow you to stay within budget and to best meet your needs for enhanced financial security.
  • I offer a unique concept of guaranteed standard issue to a group of 10 persons or more, without medical underwriting and competitive rebates.
  • If your Group Benefit Plan does not cover your complete income, our combined limits will allow you to obtain more coverage while combining an Individual Disability Insurance plan with your Group Insurance at work.
  • If you are a Student graduating from University and on your way to becoming a qualified Professional, our Student initiative program allows certain selected Professionals to obtain, in addition to a 15% discount, an individual disability insurance, without proof of income.
  • If your self-employed and/or a sales worker, paid on a commission basis, your eligible for a greater amount of disability insurance coverage, thanks to a perk allowance of 20%.  

 

Registered Disability Savings Plans (RDSP)
JENNIFER BENAKOUN, Senior Investment Product Administrator, Eastern Region, HUB Financial

Q.1 What is the Registered Disability Savings Plan (RDSP)?
A.1 The Registered Disability Savings Plan is a new plan that will allow funds to be invested tax-free until withdrawal. It is intended to help parents and others to save for the long-term financial security of a child with a disability. The plan structure is similar to a Registered Education Savings Plan. Contributions to an RDSP will be eligible for the new Canada Disability Savings Grant. There is also a new Canada Disability Savings Bond for individuals with lower family net incomes.

Q.2 Who will be eligible for the Registered Disability Savings Plan (RDSP)?
A.2 Any person who is:

* Eligible for the Disability Tax Credit and is a Canadian resident; or
* A parent or legal representative of a person who is resident in Canada and is eligible for the Disability Tax Credit.

Q.3 Who can contribute to a RDSP and how much?
A.3 Anyone can contribute to an RDSP; however, contributions are limited to a lifetime maximum of $200,000 in respect of the child, with no annual limit. Contributions will be permitted until the end of the year in which the child attains 59 years of age.

Q.4 When will the Registered Disability Savings Plan (RDSP) come into effect?
A.4 As soon as possible in 2008. Check our Web site often - all new forms, policies and guidelines will be posted on the CRA's Web site as they become available.

Q.5 What are the Canada Disability Savings Grant and the Canada Disability Savings Bond?
A.5 These are two programs designed to augment funds in the RDSP. The government will contribute, in the form of Canada Disability Savings Grants, funds equivalent to 100% to 300% of RDSP contributio up to a maximum of $3,500 depending on the net income of the beneficiary's family. The government will also contribute up to $1,000 annually in Canada Disability Savings Bonds depending on the net income of the beneficiary's family.

Disability Insurance:
How do I know what to buy?

Daniel La Tour is our Licensed Life Insurance Agent in BC, AB, ON & QC.
For help and advice, contact Daniel La Tour.

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