Unique Insurance

Life Insurance Quote

Your Life Insurance Quote

Life Insurance Quote

Your Life Insurance Quote

Get an Instant Life Cover Quote

A problem was detected in the following Form. Submitting it could result in errors. Please contact the site administrator.

What's your name?

What's your date of birth?

Street:

Area: (optional)

Town or city:

County:

Postcode:

We’d love to email you personalised information about your quote and exclusive offers on our products and services.

Your email address:

Please tick here if you don’t want to receive this and we’ll just send you a copy of your quote.

What type of life cover do you need?

Life Insurance
To help protect your family and mortgage Decreasing Life Insurance
To help protect your repayment mortgage

ℹ If you need Critical Illness Cover this can be added on the next page.

Please select who you'd like the policy to cover

Single policy
Just to cover yourself Joint policy
For you and your partner

What's the date of birth of the other applicant?

Please choose EITHER an amount of cover you need OR select a monthly amount to pay each month

Select amount of cover or Monthly premium

Amount Of Cover Monthly Premium

Amount of Cover:

Monthly Premium:

How many years would you like your life cover to last for?

During the last 12 months have you smoked any cigarettes, cigars, a pipe (including shisha/hookah), used vapes, e-cigarettes, or nicotine replacements?

Yes, regularly Yes, occasionally None at all

During the last 12 months has the other applicant smoked any cigarettes, cigars, a pipe (including shisha/hookah), used vapes, e-cigarettes, or nicotine replacements?

Yes, regularly Yes, occasionally None at all

We're here to help - If you would like help understanding our products call us on 0808 291 5846. We're happy to call you back if you prefer - leave your number below and one of our friendly team in Cardiff will be in touch.

Your telephone number

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