Request a quote

Critical illness quote

A lump sum paid on diagnosis, so the bills do not wait on your recovery. Tell us who it is for and we come back with your price.

About 2 minutes Goes straight to the branch — never to a third party Critical illness

Before you start. This asks nothing about your health. The health questions come on the application itself, with a licensed agent, once you have seen the price.

This form needs JavaScript to send itself. Fill it in to see what we ask, then call the branch on (868) 226-6461 or e-mail support@rickyrampersadbranch.com and we will take it over the phone.

1About you

Your full name

E-mailYour reference and your quote come here.

Phone

Best way to reach you

Call meWhatsAppE-mail

Best time

MorningAfternoonEveningAny time

The agent who sent youIf someone from the branch asked you to fill this in, their name here keeps the file with them.

2Who the cover is for

The cover is for

MyselfMy husband or wifeMy childMyself and my spouse

Date of birth of the person to be covered

Gender

Occupation

Smoked or used tobacco in the last 12 months?It changes the rate, which is why we ask it at quote stage.

NoYes

3The cover you want

Amount you have in mindTT$Leave blank and we will show you two or three levels.

For how long?

Do you hold life cover with Guardian Life already?

YesNoNot sure

4Anything else

Anything we should knowOptional. Anything that would change the price or the advice.

I am happy for the Ricky Rampersad Branch of Guardian Life of the Caribbean to use these details to prepare my quotation and to contact me about it.

Your reference appears on screen the moment you press send.