fbpx Skip to content
logoo
Need help? Give us a call
Book a Call
Need help? Give us a call
logoo
Book a Call

IA Accident Insurance

Step 1 of 5

20%
  • Hidden
  • Hidden
  • Hidden
  • Hidden
  • Hidden
  • Hidden
  • Personal Information for (You)

  • MM slash DD slash YYYY
  • General Declaration

  • Declaration of the Insured

  • Beneficiary Information for (You)

  • Primary Beneficiary(s)Your primary beneficiary(s) are first in line to receive the life insurance proceeds in the event of your death. If you have one beneficiary then they will receive 100% of the proceeds, and if you have several beneficiaries it will be split between them depending on the share percentage you choose.

  • Hidden
  • Hidden
  • Hidden
  • Hidden
  • Hidden
  • Hidden
  • Hidden
  • Billing For (You)

    The first monthly premium will be withdrawn 3 business days after the application has been approved. A monthly premium will be withdrawn on your chosen withdrawal date.

    Providing your bank info today will not result in a payment being withdrawn. You may cancel your policy at any time without any penalty. If the policy is not approved for any reason no charges will be made to your bank account.
Final-Logo Transparent
  • Terms of Use
  • Privacy Policy
Facebook-f Instagram Youtube Linkedin-in

Affinity Life Inc., is an insurance brokerage licensed to sell life insurance products in Alberta and British Columbia. We are currently not available in other provinces. Policy obligations are the sole responsibility of the issuing insurance company. Coverage is subject to underwriting by the selected insurance company. Please see policy documents for full terms, conditions, and exclusions. The logos and trademarks used here are owned by the respective entities. Refer to our Privacy Policy and Terms of Use for additional information.