Protection Plans Income Protection & Sick Pay Deferred Premium Cover to Monthly Amount of Cover Owner Provider Policy Number Period (Guaranteed / Age Premium (% Salary or Amount) (months) Reviewable) C1 C2 £ G R C1 C2 £ G R C1 C2 £ G R C1 C2 £ G R Notes (Please provide any additional details that are relevant, such as any past claims etc) Critical Illness Level/ Amount of Premium Policy Start Term Life Monthly Owner Provider Lives Covered Cover (Guaranteed / Number Date (Yrs) Cover? Premium Reviewable) (Sum Assured) Y N J C1 C2 J C1 C2 £ L D £ G R Y N J C1 C2 J C1 C2 £ L D £ G R Y N J C1 C2 J C1 C2 £ L D £ G R Y N J C1 C2 J C1 C2 £ L D £ G R Notes (Please provide any additional details that are relevant, such as where cover is accelerated, link to mortgage etc, any past claims etc)
Protection Plans Income Protection & Sick Pay Owner Provider Policy Number Amount of Cover (% Salary or Amount) Deferred Period (months) Cover to Age Monthly Premium Premium (Guaranteed / Reviewable) C1 C2 £ G R C1 C2 £ G R C1 C2 £ G R C1 C2 £ G R Notes (Please provide any additional details that are relevant, such as any past claims etc) Critical Illness Owner Provider Lives Covered Policy Number Start Date Amount of Cover (Sum Assured) Level/ Term (Yrs) Life Cover? Monthly Premium Premium (Guaranteed / Reviewable) J C1 C2 J C1 C2 £ L D Y N £ G R J C1 C2 J C1 C2 £ L D Y N £ G R J C1 C2 J C1 C2 £ L D Y N £ G R J C1 C2 J C1 C2 £ L D Y N £ G R Notes (Please provide any additional details that are relevant, such as where cover is accelerated, link to mortgage etc, any past claims etc)
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