🧪 Test All Health & Tobacco Options
This form tests all available options to ensure proper rate calculation.
Coverage Amount *
$100,000
$250,000
$500,000
$750,000
$1,000,000
$2,000,000+
Age *
25
30
35
40
45
50
55
60
65
Health Status *
Select Health Status
Excellent
Good (Most People)
Fair
Some Health Issues
Tobacco Use *
No - Never
Quit 1+ Years Ago
Yes - Currently
First Name *
Last Name *
Email *
Phone *
ZIP Code *
TEST QUOTE CALCULATION
🔄 Auto-Test All Option Combinations
RUN AUTOMATED TESTS