Complete Beneficiary Application
LifeSpring has created a completely automated application process for your convenience. You will receive a real time approval, premium rating, payment plan approval and policy documents all in less than 15 minutes. If you leave the application after you complete this page, you will be able to return and complete the process later.
Your Quote
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To learn more about the LifeSpring Primary Infertility Assistance Policy, download our brochure.

Monthly premium reflects discount for paying via automatic monthly payments from your checking or savings account. This quote is an estimate based on the initial information you have provided. Your actual premium will be determined based on both the completion of the underwriting process and the method of payment you selected. A policy will be issued only if the beneficiary meets all of our required underwriting qualifications. Premiums indicated are our standard rates.

No charges or billing will be incurred until your policy is approved. The premiums shown may vary based upon review of the Proposed Beneficiary's medical history. In the event of a premium change, we will notify you in this online application prior to you completing the acceptance of coverage.

Important Notes

When you complete the application and acceptance of coverage process online, you will be placed into our online account management portal where you will be able to review your policy. Read it carefully to ensure the accuracy of its contents, you will have 10 days to review it. There's no obligation to accept it.

Coverage is dependent on answers to health questions in this application. All policy premiums must be paid prior to the insureds 14th birthday. Payment plans will be offered to complete payments prior to the child’s 14th birthday.

Benefit amounts are subject to Life of the South Insurance Company limits.

Policy Form: LS-F-P-001 (1.19)