Group Life Insurance Application

A Benefit for FNGLA Members, Employees, and Families.

Program Description

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Current Rates for FNGLA Members

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Case Studies and Other Details

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Life Insurance Needs Calculator

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Human Life Value Calculator

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Please fill out all required and applicable fields.

* Required Fields

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Under 15 years of age.
Yes: No:
        
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Employee may elect an amount in $10,000 increments to the lesser of 5 x salary or $300,000. Minimum of $20,000.


Spouse may elect an amount in $10,000 increments to the lesser of 50% of the Employee's benefit or $50,000. Minimum of $10,000.

        
        
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For Questions reguarding this application, please contact Matthew J. Antos, CFP® 1-888-652-6468