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Yes No Cigarette Never within 12 months more than 1 yr ago more than 2 yrs ago more than 3 yrs ago more than 4 yrs ago more than 5 yrs ago more than 6 yrs ago more than 10 yrs ago more than 15 yrs ago more than 25 yrs ago Cigar Never within 12 months more than 1 yr ago more than 2 yrs ago more than 3 yrs ago more than 4 yrs ago more than 5 yrs ago more than 6 yrs ago more than 10 yrs ago more than 15 yrs ago more than 25 yrs ago Cigarello Never within 12 months more than 1 yr ago more than 2 yrs ago more than 3 yrs ago more than 4 yrs ago more than 5 yrs ago more than 6 yrs ago more than 10 yrs ago more than 15 yrs ago more than 25 yrs ago Pipe Never within 12 months more than 1 yr ago more than 2 yrs ago more than 3 yrs ago more than 4 yrs ago more than 5 yrs ago more than 6 yrs ago more than 10 yrs ago more than 15 yrs ago more than 25 yrs ago Chew Never within 12 months more than 1 yr ago more than 2 yrs ago more than 3 yrs ago more than 4 yrs ago more than 5 yrs ago more than 6 yrs ago more than 10 yrs ago more than 15 yrs ago more than 25 yrs ago Other Never within 12 months more than 1 yr ago more than 2 yrs ago more than 3 yrs ago more than 4 yrs ago more than 5 yrs ago more than 6 yrs ago more than 10 yrs ago more than 15 yrs ago more than 25 yrs ago Marijuana Never within 12 months more than 1 yr ago more than 2 yrs ago more than 3 yrs ago more than 4 yrs ago more than 5 yrs ago more than 6 yrs ago more than 10 yrs ago more than 15 yrs ago more than 25 yrs ago Vapor / E-Cigarette / Prescribed Nicotine Never within 12 months more than 1 yr ago more than 2 yrs ago more than 3 yrs ago more than 4 yrs ago more than 5 yrs ago more than 6 yrs ago more than 10 yrs ago more than 15 yrs ago more than 25 yrs ago Water / Spritual Pipe Never within 12 months more than 1 yr ago more than 2 yrs ago more than 3 yrs ago more than 4 yrs ago more than 5 yrs ago more than 6 yrs ago more than 10 yrs ago more than 15 yrs ago more than 25 yrs ago Province British Columbia Alberta Saskatchewan Northewest Territories Yukon Territory Nunavit Manitoba Ontario Quebec Nova Scotia New Brunswick Prince Edward Island Newfoundland All Provinces Face Amount Face Amount $ 25,000 $ 30,000 $ 35,000 $ 40,000 $ 45,000 $ 50,000 $ 55,000 $ 60,000 $ 65,000 $ 70,000 $ 75,000 $ 80,000 $ 85,000 $ 90,000 $ 95,000 $ 100,000 $ 125,000 $ 150,000 $ 175,000 $ 200,000 $ 225,000 $ 250,000 $ 275,000 $ 300,000 $ 325,000 $ 350,000 $ 375,000 $ 400,000 $ 425,000 $ 450,000 $ 475,000 $ 500,000 $ 550,000 $ 600,000 $ 650,000 $ 700,000 $ 750,000 $ 800,000 $ 850,000 $ 900,000 $ 950,000 $1,000,000 $1,250,000 $1,500,000 $1,750,000 $2,000,000 $2,250,000 $2,500,000 $2,750,000 $3,000,000 $3,500,000 $4,000,000 $4,500,000 $5,000,000 $6,000,000 $7,000,000 $8,000,000 $9,000,000 $10,000,000 $11,000,000 $12,000,000 $13,000,000 $14,000,000 $15,000,000 $16,000,000 $17,000,000 $18,000,000 $19,000,000 $20,000,000 $21,000,000 $22,000,000 $23,000,000 $24,000,000 $25,000,000 $26,000,000 $27,000,000 $28,000,000 $29,000,000 $30,000,000 Premium Payment Premium mode Annual Semi-Annual Quarterly Monthly Product Type 1 year Term 10 year Term 15 year Term 20 year Term 25 Year Term 30 Year Term 35 Year Term 40 Year Term Level term to 65 Level term to 70 Level term to 75 Unique Term OptiTerm Traditional Term 100 T100 20-Pay Unique Term 100 Whole Life / Life Pay Whole Life / Pay to 65 Whole Life / 25 Pay Whole Life / 20 Pay Whole Life / 15 Pay Whole Life / Quick Pay Unique Whole Life Living Benefits Single Person Funeral Plan Select the Critical Illnesses that need to be covered by the quoted products: Heart Attack Cancer Stroke Acquired Brain Injury Alzheimer's Disease Aortic Surgery Aplastic Anaemia Autism Bacterial Meningitis Benign Brain Tumour Blindness Cerebral Palsy Coma Congenital Heart Disease Coronary Angioplasty Coronary Artery Surgery Cystic Fibrosis Deafness Dismemberment Heart Surgery Heart Valve Replacement Kidney (Renal) Failure Loss of Independence Loss of Limbs Loss of Speech Major/Vital Organ Failure/Transplant Motor Neuron /Lou Gehrig's Disease Multiple Sclerosis Muscular Dystrophy Occupational HIV Paralysis Parkinson's Disease Rett Syndrome Severe Burns Type 1 Diabetes Mellitus Underwriting Risk Elite Preferred Regular Simplified Guaranteed GET QUOTE! 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