Life Insurance Quote

Tegretol


File # 10513
Male, 39 years old
$1,000,000 coverage, 20-year term

Health Issues
  • Seizure disorder (epilepsy) - diagnosed 26 years ago - 5 gran mal seizures - 6 petit mal seizures, each year - client feels the seizures are usually triggered by conditions of fatigue and hunger
  • Drinking Alcohol - usual history is 2 drinks each weekend, but no alcohol in recent months since his last gran mal seizure
  • Family History of Cancer - father, died of lung cancer in his 60's
  • Family History of Heart Conditions - father, developed heart disease in his 50's
Medications
  • Dilantin and Tegretol (being switched to Depakene and Zarontin)
Life Insurance Questions

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

Medications
Albuterol
Allopurinol (Allopurinal)
Asacol
Ativan
Baclofen
Celexa
Cortizone
Depakene
Dilantin
Diovan
Effexor
Elavil
Emuran
Glucophage
Hippurate
Humalog
Hydrochlorothiazide
Hyzaar
Lantus
Lexapro
Lipitor
Lopidine
Metoprolol
Nexium
Paxil
Pentasa
Plaquenil
Prednisone
Prinivil
Prozac
Remicade
Sulfadine
Sulfalazine
Synthroid
Tamoxifen
Tegretol
Viox (Vioxx)
Wellbutrin
Zarontin
Zetia
Zoloft