Impaired Risk Life Underwriting


Use either of the following methods for accurate quotes on your impaired risk cases.

Online Impaired Risk Quote Request: A neat function. It makes you look like a pro with your clients!

Questionnaires - 11 questionnaires you can print out and fax to us, including the most common impairments such as heart/coronary disease, diabetes, cancer, nervous/anxiety/depression, driving, drug/alcohol, financial, foreign travel, stroke/TIA and tobacco use.


For Agent Use Only. Not For Use With The General Public.


Source Brokerage Info
Mailing Address:
P.O. Box 26580
Indianapolis, IN 46226

Shipping Address:
9535 E. 59th Street, Suite C
Lawrence, IN 46216
Phone: (317)803-3330
Toll Free: 1-800-543-7167

Fax: (317)803-3370
Toll Free Fax: 1-800-856-3494

Email: jdarnell@sourcebrok.com