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It's important that you fully and honestly answer each question that is applicable to you.

1. About your insurance requirements

Are you looking for a specific amount of life cover?
Or a maximum monthly cost?

Required (please fill in one or both)
The cover amount is the lump sum you want to help provide for your loved ones and/or to help repay your mortgage or loan. We'll use this figure to search the insurance market for monthly premiums for your requested amount of cover.
If you know how much you can afford each month, we'll search the insurance market for cover based on that amount.

Which type of cover
would you like? Required


Your situation Required

Your health condition(s) Required. Please tick any that apply. We need to know about any health condition(s) you have, as this affects the availability and price of cover.


Which type(s) of cover are you interested in? Required

What is your current status? Required

Your current (or intended) location outside the UK

Are you intending to return to live in the UK?

Are you a UK National? Required

Your current (or intended) occupation outside the UK

Employment status

Do you have any of these connections to the UK? Having at least one of these UK connections could widen the range of Life Cover options available to you. Please tick any that apply.

If you don't meet any of the above criteria, we may still be able to help you arrange a policy.

Do you have a UK bank account? Required

Your insurance premium (monthly payments) must be paid from a UK bank account. If you don't already have one, you’ll need to get an account before your insurance policy can start.

Have you used any tobacco or nicotine products in the past 12 months? Required

In addition to Life Cover, do you require Critical Illness Cover if it's available?

Which type(s) of cover are you interested in? Required

Have you used any tobacco or nicotine products in the past 12 months? Required. Please tick any that apply.

New! Are you a non-smoker who uses e-cigarettes or smoking control products? You could save up to 50%! Most insurers will class you as a smoker, and increase your cover price accordingly! But we can now source lower monthly premiums to non-smokers who use e-cigarettes or smoking control products.
Please note this option isn’t available to everyone - it depends on factors such as any health conditions you may have.

2. About you

Name Required

How would you prefer us to contact you?

Phone number Please provide at least one contact number

Employment status Required

(e.g. Miss, Mr, Mrs, Ms, Dr, etc.)

Your date of birth Required

Second applicant's date of birth (if joint cover needed)

Let us keep you up to date

Occasionally, we're able to offer new or improved Life Insurance, Critical Illness Cover, Income Protection Cover or related insurance products that may be of interest to you. Please tell us how you would like us to send you information about these new or improved products, or if you prefer to not be contacted about them.

We won't sell your details to other companies. You can unsubscribe at any time.

How your data will be used
  • You can find full details of how your data will be used by Moneysworth Ltd (including information about your rights) in our Privacy Notice and Cookies Notice , which you should read before progressing (links open in a new window).
  • If you are providing information about someone else, such as a spouse or partner, you must make sure you have their consent and that they are aware of our Privacy Notice.

If you require further information about how your data will be used, please contact us .

Talk to us

01625 462 744

Before calling us, please make sure you have read and understood our Privacy Notice .

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What happens after you submit your quote request?

You'll receive a confirmation email which explains the next steps in the process.

Please check your spam/junk folder if you don't seem to have received a confirmation email within a few minutes after requesting your quote.