File # 10527
Male, 42 years old
$200,000 coverage, 20-year term

Health Issues
  • Seizure disorder (epilepsy) - diagnosed 9 years ago, caused by concussions related to Army service - 5 gran mal seizures, less than 1 each year - 2 or 3 petit mal seizures each month - 11 hospitalizations, on outpatient basis - currently treated with medication
  • High blood pressure (hypertension) - currently treated with medication
  • Polyp on vocal chord - removed 3 years ago, and nothing returned
  • Family History of Cancer - father, died from hip-related cancer at age 52
  • Family History of Diabetes - mother, developed diabetes at age 65
Medications
  • Did use Depakote, Dilantin, and Tegretol
  • Now uses Benicar and Lamictal
Legal Issues
  • Department of Motor Vehicle Record - 1 traffic ticket in last 2 years
Life Insurance Questions