Funeral costs are real. Planning for them is simple.

Answer a few questions. A licensed insurance producer will personally review your request and call you within minutes during business hours. Many options do not require a paramedical exam, but health questions and carrier approval still apply. No pressure, ever.

Privacy notice

About youFirst name Last name Phone Email State of residence (required) Date of birth (required)

Coverage requestDesired coverage amount ($5,000 to $40,000) Tobacco or nicotine use in the last 12 months? Do you have existing life insurance or an annuity? Would this replace, reduce, or change existing coverage? Who would this coverage protect? Preferred contact window

Your contact choices (each is optional and separate)

Email

By checking this box and submitting this request, I electronically sign and give my express consent for ShieldWise to email me at the email address I provided about my request and final-expense life insurance options. Consent is not a condition of purchase. I may unsubscribe at any time using the link in any marketing email.

Text messages (SMS)

By checking this box and submitting this request, I electronically sign and give my prior express written consent for ShieldWise to send advertising or telemarketing text messages to the telephone number I provided about my request and final-expense life insurance options, including using an automatic telephone dialing system or other automated technology. Message and data rates may apply; message frequency varies. Reply HELP for help or STOP to cancel. Consent is not a condition of purchase. I may revoke this consent at any time by any reasonable means.

Phone calls

By checking this box and submitting this request, I electronically sign and give my prior express written invitation, permission, and consent for ShieldWise to place advertising or telemarketing calls to the telephone number I provided about my request and final-expense life insurance options, including using an automatic telephone dialing system or an artificial or prerecorded voice, even if my number is on a federal or state do-not-call list. Consent is not a condition of purchase. I may revoke this consent at any time by any reasonable means.

Completing this form does not guarantee coverage.