YES - I Want To Protect My Family!

Let me know if I qualify for the
NEW Whole Life Insurance Programs
To Cover 100% of my Final Expenses
with NO 2 Year Waiting Period

45 Seconds to Complete

(Limited Offer For Seniors 50-89)

What is your gender? *

What is your STATE of residence *

What is your age? (up to age 89 only) *

Do you currently have any life insurance protection in place? *

If you qualify, who would be your beneficiary? (the name of the person/persons to receive the payment when something happens to you) *

This protection is designed for seniors on a limited or fixed income. If you qualify what is your montly budget to protect your family? *

First Name *

Last Name *

Email *

Cell Phone Number (You'll receive a verification code to enter here) *

By clicking SUBMIT you agree to receive recurring automated promotional and personalized marketing text (e.g., SMS and MMS) messages (e.g. event reminders) from US Legacy Life including text messages that may be sent using an automatic telephone dialing system, to the mobile telephone number you provided when signing up or any other number that you designate. Consent to receive automated marketing text messages is not a condition of any purchase. Msg & Data rates may apply. You can Reply STOP to opt out.

YES - I Want To Protect My Family!

Let me know if I qualify for the NEW Whole Life Insurance Programs To Cover 100% of my Final Expenses with NO 2 Year Waiting Period

45 Seconds to Complete

Let me know if I qualify for the
NEW Whole Life Insurance Programs
To Cover 100% of my Final Expenses
with NO 2 Year Waiting Period