LehrmanGroup makes it easy to purchase term or whole life insurance. We represent over 60 major life insurance carriers and use the following 'two minute' questionnaire to calculate your premium. We'll send your rates via email, or for an immediate quote call us toll-free at 800-600-9663.
Please complete all fields. We cannot give an accurate quote without all of the information requested. We do not sell or divulge any of your information to anyone. To better understand how LehrmanGroup handles the information you give, please see our Privacy Policy.
Founded in 1988, LehrmanGroup serves the life and health insurance needs of individuals, small and large businesses, governments and institutional clients nationwide.
First Name
Last Name
Street Address
City
State
Zip Code
Email
Phone
Date of Birth
Gender Select Male Female
Occupation
Beneficiary Relationship Spouse Child Relative Friend Business Partner
Term Length Select Term 5 year 10 year 15 year 20 year 30 year 40 year
Benefit Amount Select Amount $100,000 $150,000 $200,000 $250,000 $300,000 $350,000 $400,000 $450,000 $500,000 $750,000 $1,000,000 $1,500,000 $2,000,000 $2,500,000 $3,000,000 $3,500,000 $4,000,000 $4,500,000
Please select all that apply regarding any form of tobacco use. To select more than one, Mac users hold the "command" key and click, PC users, hold "control" and click. None Yes, in the last 36 months. Yes, in the last 60 months.
If you've ever been diagnosed and/or treated for cholesterol, high blood pressure, or diabetes, please select any and all of the following that apply. To select more than one, Mac users hold the "command" key and click, PC users, hold "control" and click. None Cholesterol Diabetes High Blood Pressure
Have you (at any age) and/or a parent or sibling (prior to age 60) ever been diagnosed or treated for cancer or heart disease? Please select all that apply. To select more than one, Mac users hold the "command" key and click, PC users, hold "control" and click. No Yes, I've been diagnosed. Yes, I've been treated. Parent or Sibling Diagnosed Parent or Sibling Treated Parent or Sibling Died
If you answered that a parent or sibling died from cancer or heart disease, please specify their age at death.
Please enter your height and weight. Enter height in "x'xx" format. Example: "5'3" or "6'10."
Height
Weight
Have you been convicted of a DUI/reckless driving offense in the last five years or had three or more moving violations in the last three years? -Select- Yes No
If you've ever been rated up or declined for a life insurance policy please give a brief, detailed explanation of why.
If this will replace a current life or annuity policy, please enter your current insurer.
How did you find LehrmanGroup? -Please Select- AAPS Arizona Daily Star Bus-stop Bench Dex Yellow Pages eJane Employee Referral External Referral Google Internet NACHI Other Qwest Dex Website Radio: ESPN Radio: The Truth TAR Tucson Weekly TV Commercial Vimo Word of mouth Yahoo
Please select frequency of premium payment. Monthly Quarterly Semi-Annual Annual
Any comments or special requirements?
The premium rates you will receive are for quoting purposes only, are not an offer of coverage and are not guaranteed. Final premium rates will be determined by the insurance companies and are based on individual circumstances. As a result of underwriting, final premium rates may differ from quoted premium rates.
Lehrman Group and/or an associate of Lehrman Group holds insurance licenses in the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Kansas, Kentucky, Louisiana, Michigan, Missouri, Nevada, New Hampshire, New Mexico, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia and West Virginia. Parties requesting rates from one of the states where Lehrman Group (or an associate of Lehrman Group) is not licensed will be contacted by a local agent or broker who is licensed by the Insurance Commissioner in that state.
