Estimate Life Insurance Needs

Every family has unique circumstances. Use this form to estimate the income you will need to replace and the major expenses you want to plan for.

Step 1: Income Needs

Estimate the income you will need to replace if you or your partner passed away.

Income your family would need to replace.

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$

Additional income streams to replace.

$
$

Number of years your beneficiaries need support.

Step 2: Major Expenses

Estimate major expenses you may leave behind or want to plan ahead for.

Typically the greater of $15,000 or 4% of your estate.

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$

Balance to be paid off.

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$

Credit cards, car loans, home equity, etc.

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$

Estimated funds needed for dependents’ education.

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$

Step 3: Assets

Assets that would be available to help offset the financial needs.

Include real estate, retirement plans, investments.

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$

Current policies in force.

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$

Your Needs

Total Expenses: $0
Total Assets: $0
$0

Spouse Needs

Total Expenses: $0
Total Assets: $0
$0