Phone and Google Meet video consultations available nationwide

Confidential intake

Life Insurance Intake

Take 10–15 minutes to share the details underwriters need. Michael uses this to pre-screen multiple carriers and bring back honest feedback before any formal application or exam — so you only apply where you're most likely to get the best class.

Private — sent only to Michael & the underwriter
Be candid — accuracy protects your coverage
Save us a call — covers what carriers ask first

Who you are

Basic contact info so Michael can follow up.

Coverage you're considering

Rough goals are fine — we'll refine together.

Existing life insurance

Build & basic health

Underwriters use these to estimate your rate class.

Medical history

Be candid — accurate answers protect your coverage at claim time.

Lifestyle & occupation

Beneficiary & ownership

Anything else

Your information is private and shared only with Michael and the underwriter reviewing your case. Used solely to prepare your quote.