All fields with RED * need to be filled.

PLEASE ENTER YOUR DATE OF BIRTH *

Years

ARE YOU INDIVIDUAL OR COUPLE?

MEMBER 2 : WIFE, HUSBAND, PARTNER OR CHILD *

  Years
PRICE FOR CAPITAL IN CASE DEATH OR TOTAL DISABILITY BY SICKNESS
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    The Insured is considered to have a total and irreversible disability when heis not able of earning, in any occupation, a salary greater than a third of the normal income received in the same region by workers of the same category, in the same occupation, and absolutely needs assistance from a third party to carry out any act of everyday life, such as to feed himself, dress, wash, be continent, move around. IF YOU NEED THE SUMMARY OF COVER AND THE POLICY: DOWNLOAD DOCUMENT

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$
PRICE FOR CAPITAL IN CASE DEATH OR TOTAL DISABILITY BY ACCIDENT
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    Same than previously, but in case of accident which is arising from an abrupt, sudden or unexpected action of an external cause, except from an acute or chronic illness. IF YOU NEED THE SUMMARY OF COVER AND THE POLICY: DOWNLOAD DOCUMENT

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$

ADJUST CAPITAL

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    You choose your capital. This capital can be delivered one time only, in case of a claim. IF YOU NEED THE SUMMARY OF COVER AND THE POLICY: DOWNLOAD DOCUMENT

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TABLE OF PLANS