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When was your birthdate?
Must be at least 1 month old
What is your gender?
Men and women have different life expectancies, and therefore, insurers take gender into account when pricing life insurance policies.
Female
Male
Do you smoke or use any nicotine products?
Select “Yes” if you’ve used any nicotine products in the past year. Nicotine products include cigarettes, e-cigarettes, cigars, pipes, chewing tobacco, nicotine gum or patches, etc.
No
Yes
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