Open Life Settlements - Your Eligibility

Instant Estimate

Answer the questions below to get an instant estimate of your eligibility for a life settlement and the value of your policy. Please remember that the outcome is only an estimate. If you have any questions, feel free to contact us.

Open Life Settlements Estimate Worksheet

The insured (the person whose life is insured by the policy) is:

Age:

Male

Female

(Note: In a second-to-die policy, use the age and sex of the younger insured.)

The insured's current health is:

	Exceptional health for age
	Normal health for age
	Below average health with minor conditions
	Poor health with serious conditions
	Terminal illness

(Note: In a second-to-die policy, use the health of the younger insured.)

The policy owner's state of residence is:

The policy's face value (death benefit) is:

$ :

.00

The policy is a:

	Second to Die with both insured’s living
	Term Life
	Whole Life
	Universal Life
	Variable Universal Life
	I’m not sure

I have taken loans out against the policy that are:

	50+% of face value
	30+% of face value
	20% to 30% of face value
	10% to 20% of face value
	Less than 10% of face value
	No loans
	I'm not sure

My premiums are:

$ :

.00

	Monthly
	Quarterly
	Annually

Address:
Open Life Settlements
436 Marie Way
Pineville, NC 28134

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