Underwriting Department
ABC Life Insurance Company
City, State XXXXX
To Whom It May Concern:
Please find attached my application for life insurance. After working with my broker, (insert name here), we have decided to apply for 2 million dollars of 20-year term coverage.
Please note, per the application, that I have diabetes.
My age of onset was 17.
I am currently using an insulin pump and take 30 units of insulin daily.
I monitor my blood glucose levels daily; my average reading is 117 mg/dl.
My A1C levels are tested quarterly by my doctor. Recent readings are as follows:
- 2/07 7.7%
- 6/07 7.7%
- 9/07 7.4%
- 1/08 7.5%
I walk my dog two miles a day, and I take a Pilates class at the gym on Saturday mornings. My nutritionist and I have developed a specific diet that I follow closely. My weight has come down 4 pounds in the last year.
I do not smoke or drink alcohol. I have minimal diabetic neuropathy, but I do not let it interfere with my exercise.
The best exercise I get is during my weekly visit with my three grandchildren. They run me pretty ragged.
Please take these factors into consideration as you evaluate my application.
Thank you.
(your signature here)
