Impaired Risk

Impaired Risk Support

Learn how our Impaired Risk System can help you gain the competitive edge you need to place more cases

Your client's insurability can change! Why you should obtain coverage while you have the opportunity.
Learn the 10 Steps to Impaired Risk Success
RxList: a great Drug Index tool
We will shop the case for you. Just complete our "informal inquiry form ".
Have questions? Ask our underwriters.

Following are questionnaire's specific to common conditions. They will help you gather the information you need to start the processing of your impaired risk case.

IMPAIRMENT	QUESTIONNAIRES		Rx	RELATED ARTICLES
IMPAIRMENT	Fillable	Printable	Rx	RELATED ARTICLES
Acoustic Neuroma	x	Print	x	x
Acromegaly	x	Print	x	x
Addison's Disease	x	Print	x	View
Alcohol	View	Print	Rx	View
Alzheimer's	x	Print	x	View
Anemia	x	Print	x	x
Aneurysm	x	Print	x	x
Ankylosing Spondylitis	x	Print	x	x
Anxiety	View	Print	x	View
Aortic Stenosis	x	Print	x	View
Aortic Valve Disorder	x	Print	Rx	1, 2
Aplastic Anemia	x	Print	x	x
Arrhythmia	x	Print	x	x
Arthritis	x	Print	x	View
Asperger's Syndrome	x	Print	x	x
Asthma	View	Print	Rx	1, 2
Atrial Fibrillation	x	Print	Rx	x
Attention Deficit Disorder	x	Print	x	View
Aviation	View	Print	x	View
Barrett's Esophagus	x	Print	x	x
Back Disorder	x	Print	x	x
Berger's Disease	x	Print	x	x
BiPolar	x	Print	x	x
Bladder Cancer	x	Print	Rx	View
Bone Cancer	x	Print	x	x
Breast Cancer	x	Print	Rx	View
Build	x	Print	Rx	View
Bundle Branch Block	x	Print	Rx	View
Cancer	View	Print	Rx	View
Cardiomyopathy	x	Print	Rx	View
Celiac Disease	x	Print	x	x
Cerebral Palsy	x	Print	x	View
Cervical Cancer	x	Print	Rx	View
Chiari Malformation	x	Print	x	x
Cholesterol	View	Print	x	x
Chronic Fatigue Syndrome	x	Print	x	x
Chronic Lymphocytic Leukemia	x	Print	Rx	View
Chronic Obstructive Pulmonary Disease (COPD)	x	Print	Rx	View
Climbing	x	Print	Rx	x
Colon Cancer	x	Print	x	View
Colorectal Cancer	x	Print	Rx	View
Congestive Heart Failure	x	Print	Rx	View
Coronary Angioplasty (PTCA)	x	Print	Rx	View
Coronary Artery Disease	x	Print	1, 2	View
Coronary Bypass Surgery (CABG)	x	Print	Rx	View
Coronary Disease	x	Print	x	x
Crohn's Disease/Colitis	View	Print	Rx	View
Cushing's Disease	x	Print	Rx	x
Deep Vein Thrombosis	x	Print	x	x
Depression	View	Print	Rx	1, 2
Diabetes	View	Print	1, 2, 3, 4, 5	1, 2
Diverticulitis	x	Print	x	x
Down's Syndrome	x	Print	x	x
Drug Usage	x	Print	Rx	View
Eating Disorder	x	Print	x	x
Electrocardiograms	x	Print	Rx	View
Epilepsy / Seizure Disorder	x	Print	Rx	View
Fibromyalgia	x	Print	x	x
Gastric Bypass	x	Print	x	x
Gastro Intestinal	x	Print	x	x
General Heart Disease	x	Print	x	View
Glomerulonephritis	x	Print	Rx	View
Grave's Disease	x	Print	x	View
Guillain-Barre Syndrome	x	Print	x	x
Heart Attack	x	Print	x	View
Heart Block	x	Print	x	x
Heart Bypass & Angioplasty Stent	View	Print	x	x
Heart Murmur	x	Print	x	View
Heart Valve Replacement	View	Print	x	x
Hematuria	x	Print	x	View
Hemophilia	x	Print	x	x
Hemochromatosis	x	Print	Rx	View
Hepatitis	View	Print	1, 2, 3	1, 2
High Blood Pressure (Hypertension)	View	Print	Rx	View
Hodgkins Lymphoma	x	Print	x	View
Huntington's Chorea	x	Print	x	x
Hypertension (High Blood Pressure)	View	Print	Rx	View
Hypopituitarism	x	Print	x	x
Idiopathic Thrombocytopenic Purpura	x	Print	x	x
IgA Nephropathy	x	Print	x	x
Intraocular Melanoma	x	Print	x	x
Irregular Heart Beat	x	Print	Rx	View
Kidney Stones	x	Print	x	View
Leukemia	x	Print	Rx	x
Lipid Levels (elevated)	x	Print	Rx	View
Liver Enzymes	x	Print	Rx	1, 2
Lung Cancer	x	Print	x	x
Lupus	x	Print	Rx	x
Lyme Disease	x	Print	x	x
Lymphoma	x	Print	Rx	View
Melanoma	View	Print	x	View
Mitral Valve Prolapse	x	Print	1, 2	View
Mitral Valve Regurgitation	x	Print	x	View
Mitral Valve Stenosis	x	Print	x	View
Multiple Sclerosis	x	Print	Rx	1, 2
Muscular Dystrophy	x	Print	x	x
Myasthenia Gravis	x	Print	x	x
Non-Hodgins Lymphoma	x	Print	x	x
Organ Transplant	x	Print	x	x
Osler-Weber-Rendu Disease	x	Print	x	x
Ovarian Cancer	x	Print	Rx	View
Pacemakers	x	Print	Rx	View
Pancreatitis	x	Print	Rx	x
Paralysis	x	Print	x	x
Parkinson's Disease	x	Print	Rx	View
Pericarditis	x	Print	x	View
Peripheral Vascular Disease	x	Print	Rx	x
Pernicious Anemia	x	Print	x	x
Phlebitis	x	Print	x	x
Pituitary Adenoma	x	Print	x	x
Polycystic Kidney Disease	x	Print	Rx	1, 2
Polycythemia	x	Print	Rx	x
Post Traumatic Stress Disorder	x	Print	x	x
Primary Biliary Cirrhosis	x	Print	x	x
Primary Sclerosing Cholangitis	x	Print	x	x
Prostate Cancer	x	Print	Rx	View
Prostate Specific Antigen (PSA)	x	Print	Rx	View
Prostatitis	x	Print	x	x
Proteinuria	x	Print	Rx	View
Psoriatic Arthritis	x	Print	x	x
Psychiatric Condition	x	Print	x	x
Pulmonary Function Testing	x	Print	Rx	View
Pulmonary Hypertension	x	Print	x	x
Race Car Driver	View	Print	x	x
Reiter's Syndrome	x