Sequoia Premier Partners

  • Home
  • Products
    • Product Information
    • Underwriting Guides
  • Quotes
    • Life Quotes
    • Quote Request
  • iGO/E-APP
  • Carrier Drop Tickets
  • Forms
    • Additional Forms
  • Contracting
  • My Cases
  • Contact Us
  • Home
  • Products
    • Product Information
    • Underwriting Guides
  • Quotes
    • Life Quotes
    • Quote Request
  • iGO/E-APP
  • Carrier Drop Tickets
  • Forms
    • Additional Forms
  • Contracting
  • My Cases
  • Contact Us

Forms


Sequoia Premier Partner's Letter of Representation/Authorization for Release of Health-Related Information 
Download HIPAA Form
Sequoia Premier Partner's Preliminary Application (Informals)
​
Download Preliminary App
Sequoia Premier Partner's Illustration Request Form
​

Download Illustration Request

Additional Underwriting Guides


  • Aviation
  • Avocation Exclusion
  • Bankruptcy History
  • Blood Pressure
  • Cancer History
  • Cholesterol
  • Driving History
  • Estate Growth
  • Family History
  • Income Replacement
  • Informal and Quick Quote Submission
  • Inspection Report
  • Marijuana Usage
  • NT Pro
  • Older Age Rate Class
  • Premium Ratio
  • Tobacco Usage
  • Underwriting Programs

Medical Impairment Questionnaires


  • Angioplasty
  • Atrial Fibrillation
  • Coronary Artery Disease
  • Diabetes Questionnaire
  • Multiple Sclerosis
  • Pacemaker
  • Parkinsons
  • Polycystic Kidney Disease​
  • Sleep Apnea
  • Stroke and TIA
  • ​Valvular Heart Surgery

Sequoia Premier Partners

1807 W Diehl Rd., Suite 105 Naperville, Illinois 60563
Main: (630) 615-6333
​Fax: (866) 499-0454​
​[email protected]
[email protected]
Site powered by IXN Tech