Policy Evaluation

Please answer each of the following questions, so that we might review your policy's suitability for the secondary market. We will generate a “ballpark” estimate of how this policy may be valued by current pricing parameters.

If you would like to contact an Ashar Group asociate please call us today toll-free at 800-384-8080.

NOTE: The information provided by you will be treated with the strictest confidence. By submitting this information, you are under no obligation to Ashar Group to submit the policy to the secondary market. This is a preliminary tool designed for screening purposes only. Rejection or acceptance of a life settlement case can only be determined by submitting a complete application to Ashar Group, being underwritten and having your policy analyzed and reviewed by purchasing institutions. Fields marked with an * are required.
Name*
Company*
State of Policyowner
Phone*
Email*
Referred/Ashar Associate*
Age of Policyowner
Gender Of Insured
Medical Condition	* - change in health since policy was issued
Tobacco User
Issue Date*
Amount of Policy*
Type of Policy
Annual Premium
Policy Loan
Loan Amount*
Cash Surrender Value*
Other Information: