Hero Life Coverage | Life Insurance Application

Step 1 of 7

Find Your Best Life Insurance Rate

We shop multiple top carriers at once to find you the lowest monthly premium.

Americo

Mutual of Omaha

Aetna / CVS

Transamerica

American Amicable

Ethos

What type of coverage do you need?

🪦

Final Expense

$5K – $35K

📋

Term Life

10, 20, 30 yr

🏦

Whole Life

Builds cash value

📈

IUL

$50K – $500K+

🤔

Not Sure

Help me choose

Step 2 of 7

How much coverage do you want?

This is the death benefit your family would receive.

$25,000

Coverage Amount

$5K$25K$50K$100K$250K$500K+

Step 3 of 7

Tell us about yourself

Used to calculate your personalized rates.

First Name

Last Name

Date of Birth

Gender

State

ZIP Code

Step 4 of 7

A few health questions

Your answers determine which carriers can offer you the best rate. Be honest — it only helps you.

Do you currently smoke or use tobacco?

✅ No

🚬 Yes

Have you been diagnosed with diabetes?

✅ No

Yes

Any history of heart disease or heart attack?

✅ No

Yes

Any history of cancer in the last 5 years?

✅ No

Yes

Any COPD, emphysema, or lung disease?

✅ No

Yes

Step 5 of 7

What's your military status?

Some carriers offer exclusive rates for veterans and active duty members.

🎖️

Active Duty

🦅

Veteran

🏅

Guard / Reserve

💙

Military Spouse

👨‍👩‍👧

Military Family

🙋

Civilian

Step 6 of 7

Your Personalized Quotes

Select the plan that works best for you.

Checking rates across 6 carriers...

Step 7 of 7

Almost done — confirm your info

A licensed agent will contact you to finalize your application.

Phone Number

Email Address

Best time to reach you

By submitting, you consent to be contacted by a licensed agent from Veterans Division / Family First Life via phone, text, or email. We never sell your information.

✅

Application Submitted!

Your agent will reach out within minutes to finalize your coverage.

Mike Mason

Licensed Life Insurance Agent · Veterans Division

(267) 584-6394