Discount Insurance - Low Cost Call 1890 - 987 817

€13,000*	over the policy term.
	Call us now on 1890 987 817

Serious Illness InsuranceFurther Information

Complete this form to see an immediate online quote for Serious Illness Insurance. Products available to residents of the Republic of Ireland only.

Inflation Protection Option:

Available to all level and convertible term policyholders who are under age 60 when they start their policy.
Allows you to automatically increase your cover by 5% each year.
Your premium will increase by an amount equivalent to 5% - 8% per year, to pay for the additional cover

Personal Information

Your First Name:
Please tell us your e-mail address:
Daytime Phone Number:
Is the cover for just you (single) or for you & your partner (dual)?
Length of term:
How much cover do you require? i.e. €100,000

Terms of Business

You must tick this box to confirm that you have read the terms of business

First Person on the policy
Life 1 details What is your Date of Birth?:

Second Person on the policy
Life 2 details What is your Date of Birth?:

Promotional Code If you have a promotional code enter it here:

Chrome Capital Ltd trading as Chrome Capital is regulated by the Central Bank of Ireland. Privacy Statement | Legal Terms & Conditions

€13,000*

over the policy term.

Call us now on 1890 987 817

Serious Illness InsuranceFurther Information