CPA Life Insurance
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Please select the option you are applying for:

New Customers

(Complete this application if you do not currently have coverage under the CPA Term Life Insurance Plan. You will be considered for the best rate available.)

Current Policyholders

(if you are between age 45-74 and would like to apply for Select Status Rates, complete this application. You may also apply for an increase in coverage while applying for Select Status.)

(if you are between age 50-74 and would like to apply for Preferred Rates, complete this application. You may also apply for an increase in coverage while applying for Preferred Status.)

(Complete this application to request an increase in your current face amount only. For applicants 45 yrs or older, consider applying for Select Status or Preferred Rates to get the best rates available.)




*to apply for preferred rates, a paramed exam will be required.


For more information on the different rate classes, click here.

If you have any questions, please contact Aon Insurance Services at 800-223-7473.


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