Do you have an existing
Income Protection policy
you would like to switch to
helpucover?? If you are in full time employment and have had your existing policy for at least 18 months without making a claim, you can switch it to helpucover without a new initial exclusion period.

We will ask to see a copy of your existing insurance schedule. Please keep your existing documents with your helpucover documents.

Otherwise, you can switch but underwriting and a new initial exclusion period will apply.

Date of birth (dd/mm/yyyy)

Employment status?

Product Cover?? Unemployment cover is not available if you are self-employed or a fixed term contractor

Can you confirm the following statements:

Amount you wish to cover? £ ? The amount you wish to cover must not exceed £1,500 per month or 50% of your gross monthly income.

Wait period? ? The wait period is the length of time you have to wait before you are entitled to make a claim and receive benefit payments under the policy. The longer the period before you can make a claim, the lower your monthly premiums will be.

If you need help deciding which wait period is most suitable for you please call 0800 038 0832 where our team will be happy to help.

Benefit Period? ? You can choose to receive benefit payments for up to 6 months or up to 12 months if you are unable to work due to an accident, sickness or unemployment. Selecting a shorter benefit period can reduce your monthly premium.

First Name

Surname

Preferred Contact Number

Your email address? ? Why do we need your email address?

We'd like to send you a quote confirmation e-mail, which would also contain a link that will enable you to easily retrieve your quote.

We may also follow up your quote, or send you an e-mail regarding our other products.