Department of Motor Vehicle

File # 10596 Male, 30 years old $1,000,000 coverage, 30-year term Was declined, elsewhere Lifestyle Issues Foreign travel - Israel, 9 visits in the last 5 years Legal Issues Citizenship - citizen of Israel - in the USA with a Green Card Department of Motor Vehicle Record - 1 speeding ticket in the last 5 years

File # 10595 Female, 31 years old $500,000 coverage, 30-year term Was declined, elsewhere Health Issues Cancer - Osteoblastoma, benign tumor in pelvic bone - diagnosed and removed 3 years ago, no recurrence Family History of Cancer - sister, breast cancer at age 31 - mother, breast cancer at age 29, died at age 41 Pregnancy - currently 5 months pregnant Lifestyle Issues Foreign travel - Israel, 9 visits in the last 5 years Legal Issues Department of Motor Vehicle Record - 1 traffic ticket in the last 5 years

File # 10590 Male, 39 years old $500,000 coverage, 30-year term Health Issues Liver problems - hepatitis a, diagnosed and cured 3 years ago Drinking Alcohol - currently 2 or 3 drinks every week Lifestyle Issues Foreign travel - Canada and Europe, twice every year - history of travel to Mexico Legal Issues Department of Motor Vehicle Record - 3 speeding tickets in the last 10 years

File # 10580 Male, 30 years old $1,500,000 coverage, 20-year term Health Issues Substance Abuse - currently smoking marijuana once every month, and has done so for the last 5 years Drinking alcohol - currently drinking approximately 6 drinks every week Lifestyle Issues Rock climbing - 2.5 years of experience - indoor climbs, approximately 6 times every month - outdoor climbs, 1 or 2 times every month - climbs are moderate degree of difficulty - plans to reach 500' Auto Racing - 5 years of experience - Mustang racing, plans to race 3 times in the next year Legal Issues Department of Motor Vehicle Record - 1 traffic ticket in the last 5 years

File # 10582 Male, 36 years old $750,000 coverage, 20-year term Health Issues High cholesterol (ldl cholesterol) - currently treated with medication Anxiety and Depression - diagnosed 8 years ago - currently treating with medication Drinking alcohol - approximately 3 drinks every week Family History of Cancer - father, prostate cancer at age 70 Medications Did use Paxil Now uses Effexor, Lipitor, and Prevacid Legal Issues Department of Motor Vehicle Record - 1 traffic ticket in the last 10 years

File # 10569 Male, 40 years old $500,000 coverage, 20-year term Was rated elsewhere Health Issues Diabetes Type 1 - diagnosed 16 years ago - currently treated with medication Medications Humalog and Lantus Lifestyle Issues Foreign travel - vacation in Austria, every 1 or 2 years Legal Issues Department of Motor Vehicle Record - 3 speeding tickets in the last 5 years

File # 10525 Male, 42 years old $250,000 coverage, 20-year term Health Issues Substance Abuse - marijuana, none used in 2 years Drinking alcohol - currently an occasional drinker Tobacco - currently smoking half a pack per day Legal Issues Criminal Record - 2 drug convictions in last 20 years - served 1 year in prison, for drug possession, released 3 years ago - currently not in prison Department of Motor Vehicle Record - currently suspended license, for past 8 years - violations include speeding tickets, driving on a suspended license, and not paying charges

File # 10576 Male, 25 years old $300,000 coverage, whole life Health Issues High cholesterol (ldl cholesterol) - currently not controlled with medication Drinking alcohol - currently 3 or 4 drinks each week Lifestyle Issues Foreign travel - history of travel to England and Europe Legal Issues Department of Motor Vehicle Record - 3 speeding tickets in the last 5 years

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

File # 10524 Male, 50 years old $200,000 coverage, 15-year term Health Issues Anxiety and Depression - diagnosed 23 years ago, hospitalized for 2 weeks to treat with medication - hospitalized again, 22 years ago, to adjust medication - currently treating with medication Medications Lithium Legal Issues Department of Motor Vehicle Record - 2 traffic tickets in the last 5 years

File # 10509 Male, 67 years old $50,000 coverage, Low-priced Universal Life Health Issues Cancer - basil cell carcinoma (type of skin cancers) - removed 18 years ago - no recurrence or subsequent treatment Digestive disorders - Crohns Disease, diagnosed 30 years ago - bowel resection, 7 years ago High cholesterol (ldl cholesterol) Family History of Cancer - father, died at age 50 from lung cancer - brother is alive, developed prostate cancer at age 63 Medications Cortizone, Lipitor, and Sulfadine Legal Issues Department of Motor Vehicle Record - 2 traffic tickets in the last 5 years

File # 10574 Male, 52 years old $250,000 coverage, 15-year term Health Issues Heart problems - irregular readings on prior electrocardiogram (ECG) High blood pressure (hypertension) - currently treating with medication Tobacco - currently smoking cigars Drinking alcohol - currently drinks 3-4 beers every weekend Family History of Cancer - father, died of lung cancer at age 75 Family History of Diabetes - father, diagnosed with diabetes at age 60 Family History of Heart Conditions - mother, heart disease, heart attack at age 56 Family History (Other) - mother, died of complications from Lupus Medications Uses medication for high blood pressure Legal Issues Department of Motor Vehicle Record - 1 traffic ticket in last 10 years

File # 10535 Male, 51 years old $100,000 coverage, 20-year term Health Issues Liver problems - hepatitis c - client feels he was infected by mass innoculations during military service or through a tattoo, both 30 years ago - last biopsy was 2 years ago - underwent partial combo treatment, not successful - currently hepatitis c positive with elevated liver enzymes Drinking alcohol - currently drinking 1 glass of wine per month - was a heavy drinker, 10-15 years ago Family History of Diabetes - father is alive, developed diabetes in his late 60s Legal Issues Department of Motor Vehicle Record - 1 DUI ticket, 30 years ago

File # 10531 Male, 48 years old $750,000 coverage, 10-year term Was declined elsewhere Health Issues Liver problems - hepatitis c, diagnosed 20 years ago - client feels he was infected through drug abuse - last biopsy, 2 years ago - treatment with interferon, not successful - currently hepatitis c positive Anxiety and Depression - diagnosed 9 years ago Suicide Survivor - suicide ideation 9 years ago, resulting in hospitalization for 3 weeks Substance Abuse - history of drug abuse, but none used in last 20 years Drinking alcohol - recovering alcoholic, sober for last 20 years - attends AA meetings Family History of Cancer - mother, died of cancer of the heart muscle at age 73 Family History of Heart Conditions - mother, died at age 73 Medications Trazodone Lifestyle Issues Foreign travel - Cancun once each year Legal Issues Criminal Record - indicted on drug related charges 14 years ago, but all charges were later dismissed Department of Motor Vehicle Record - 1 speeding ticket in the last 5 years - 1 DUI ticket, 23 years ago

File # 10518 Male, 51 years old $250,000 coverage, 20-year term Health Issues Liver problems - hepatitis c, diagnosed 4 years ago - patient thinks infection occured 30 years ago, through heroin abuse - underwent 6 months of interferon treatment, not successful - currently hepatitis c positive Kidney stones - 5 or 6 years ago Drinking alcohol - currently drinking 2 glasses of wine each weekend - was drinking 1-2 glasses each day, until 4 years ago Substance Abuse - heroin addiction, none used in last 23 years - marijuana addiction, none used in last 15 years Family History of Cancer - mother, throat cancer at age 74 Lifestyle Issues Pilot license - Instrument rated - FAA certification, medical - just under 500 total hours Foreign travel - Bahamas, 2 or 3 times each year Legal Issues Department of Motor Vehicle Record - 2 speeding tickets in the last 5 years

File # 10505 Male, 40 years old $250,000 coverage, 20-year term Health Issues Drinking Alcohol - 5 beers per week Substance Abuse - Cocaine addiction, completed a treatment program Legal Issues Department of Motor Vehicle Record - suspended license and driving on a suspended license Criminal Record - charged with felony possession of cocaine - convicted of misdemeanor possession of toxic substance - arrested for carrying a concealed weapon

Standard Non-smoker Simplified Issue with No Exam File # 10534 Female, 50 years old $75,000 coverage, whole life Was declined elsewhere Health Issues Drinking alcohol - attended an Alchol Treatment Center for 3 months, then again for 5 months, graduated 3 years ago - however, client is currently drinking 5 or 6 times per week Tobacco - currently smoking 1 pack per day High cholesterol (ldl cholesterol) High blood pressure (hypertension) - currently treating with medication Medications Lotrel and Zocor Legal Issues Department of Motor Vehicle Record - 2 DUI tickets, 4 years ago - temporarily suspended license

Standard Non-smoker with graded benefit File # 10529 Female, 34 years old $50,000 coverage whole life and $100,000 coverage 10-year term Health Issues Cancer - breast cancer - full mastectomy, 3 years ago Cancer - lung cancer, diagnosed 1 year ago - removed lower half of lung Medications Tamoxifen Lifestyle Issues Foreign travel - Japan Legal Issues Citizenship - citizen of Japan - in the USA as a permanent resident alien Department of Motor Vehicle Record - 1 speeding ticket

Legal Issues
Criminal Record

Citizenship
Green Card
Canada
Israel
Japan
Philippines
UK

Department of Motor Vehicle
DUI
Speeding Ticket
Traffic Ticket
Suspended License
Driving on a Suspended License