Life Insurance Advice | Life Current

How much life insurance do I need?

Capture your details and we’ll get an expert to respond with some options and guidance for you.

Personal Details

First Name

Surname

Gender

Nationality

ID Number

Cellphone Number

Email Address

Marital Status

Do you have any specific expectations about your disability cover product you'd like to let us know about?

Occupation

Employers Name

Your current occupation

Are you self employed?

Gross annual income (i.e. before tax)

Gross monthly income (i.e. before tax)

Net monthly income (i.e. after tax)

How is your work divided?

Administrative activies

Supervisory activities

Physical labour activities

Travel activities

Additional Details

Highest Qualification

Do you smoke?

Do you participate in any hazardous activites?

Please state which activities

Are you part of any insurer's loyalty scheme?

Please state which one

Do you have any existing life insurance?

Which company is your life insurance with?

What is the value of your current life cover?

Do you have any other existing life insurance?

Which company is your life insurance with?

What is the value of your current life cover?

What do you need life insurance for?

Do you have a bond you'd you'd like to pay off in the event of your death?

What is the outstanding amout on your bond?

Do you have any other debt you'd you'd like to pay off in the event of your death?

What is the debt for?

What is the outstanding amout?

Do you have any other debt you'd you'd like to pay off in the event of your death?

What is the debt for?

What is the outstanding amout?

Would you like to pay for your child's education in the event of your death?

How old is your child currently?

What grade is your child in?

Which school would you like to educate your child at?

Would you like to fund your child's university education also?

Do you have another child whose education you'd like to pay for your child's insurance in the event of your death?

How old is your child currently?

What grade is your child in?

Which school would you like to educate your child at?

Would you like to fund your child's university education also?

Would you like to leave someone a capital amout to derive an income in the event of your death?

What is the monthly income you'd like to provide for this person?

For how many years after your passing would you like to provide this income?

Would you like to leave someone else a capital amout to derive an income in the event of your death?

What is the monthly income you'd like to provide for this person?

For how many years after your passing would you like to provide this income?

Would you like to provide for an amount to cater for your estate's liquidity?

What amount would you like to cater for?

Are there any other costs you'd like to cater for in the event of your death?

Please describe the cost you'd like to cater for?

What is the amount of this cost?

Are there any other costs you'd like to cater for in the event of your death?

Please describe the cost you'd like to cater for?

What is the amount of this cost?

Do you have any assets or investments which could contribute towards the above requirements we've discussed in the event of your death?

Please describe the asset / investment available?

Confirm this has not been left to someone in your Will

Yes

What is the current value of this asset?

Do you have any other assets or investments which could contribute towards the above requirements we've discussed in the event of your death?

Please describe the asset / investment available?

Confirm this has not been left to someone in your Will

Yes

What is the current value of this asset?

Do you have any other assets or investments which could contribute towards the above requirements we've discussed in the event of your death?

Please describe the asset / investment available?

Confirm this has not been left to someone in your Will

Yes

What is the current value of this asset?

Do you have any other assets or investments which could contribute towards the above requirements we've discussed in the event of your death?

Please describe the asset / investment available?

Confirm this has not been left to someone in your Will

Yes

What is the current value of this asset?

Vaccination Status

Terms and Conditions

By ticking, you are confirming that you have read, understood and agree to Life Current terms and conditions.