CPA Life Insurance - Let's Get Started

Your selected coverage amount is less than your existing GVUL coverage amount.

Member Information

Email Address *

Zip Code *

Are you a member of the AICPA? *

Yes No

AICPA Membership#

First Name *

Gender *

Male Female

Date of Birth *

State of Residence *

Are you a member of a State Society of CPAs or other eligible organization? *

Yes No

Select State for State Society

Last Name *

Coverage Information

Select a Coverage Amount *

Accidental Death & Dismemberment Coverage *

Yes No

Disability Waiver of Contribution *

Yes No

Dependent Child Coverage *

Yes No

Preferred rates are available for members who are age 40-74 and in excellent health when approved for coverage. To qualify for Preferred status, a brief in-home or in-office medical exam, questionnaire and a minimum of $300,000 in coverage amount for age 40-69 or a minimum of $250,000 in coverage amount for age 70-74 is required.

* Designates a required field

Member Information

Coverage Information

Eligibility Questions

Coverage Information

Rate Information