Before
you apply, be sure to view the Imerica
brochure  .
It contains important information regarding
benefits, exclusions, limitations, renewability, and
other terms of coverage.
You
may apply by downloading and completing a paper application.
Select your state below to view the correct application.
When the Adobe Acrobat
reader opens with the application, use the menu
bar at the top to save the application to a file or
simply print it out right from the reader.
You
may also fill out our Application
Request Form and we will email you an application
right away.
Simply
follow the instructions on the application. Fax
the completed application to us toll-free at 1-866-284-0082,
or mail it to us at the address below.
Note:
All policies come with a money-back guarantee.
After receiving your policy, you have 10 days to review
it. If for any reason you decide not to keep
the policy, you will receive a full refund of your
initial premium. Remember that you also have
access to the guaranteed lowest
life insurance rates available, with easy online
quotes and applications.
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