Complete this form and Lighthouse Life will contact you to begin the appraisal process.

  • How to assess your health.

    Please select your health status by comparing your health to that of people your age.
    • Above average - exceptional health relative to the average person my age
    • Average – average health relative to a person my age
    • Slightly below average – chronic, but manageable, health conditions that that require ongoing treatment and care but do not have a significant impact on quality of life relative to my peers
    • Well below average – major or severe medical conditions that have a significant impact on my quality of life
    • Terminal – irreversible medical conditions that will significantly reduce my life expectancy such as late stage cancer
  • This field is for validation purposes and should be left unchanged.