For Permanent Life Insurance and Carrier Compliant Quotes – Sign-Up for Winflex.

Once you have signed up. Give us a call and we will help you with carrier access.

If you would like assistance – we are happy to run the numbers for you!

Please complete the quote request below!

(This form is if you are looking for maximum death benefit)

  • Producer Information

  • Client Information

  • MM slash DD slash YYYY
  • Please list any medical information we should be aware of to run the best quote. (i.e., medications, marijuana usage, avocations)
  • Illustration:

  • Please enter a number from 0 to 121.
    What age would you like the Death Benefit Expire? Enter age 121 for Maximum.
  • How many years would you like to pay premium? Single Pay, 10 Pay, 20 Pay, Lifetime (enter 121).
  • List any specifics you would like to see.