By Jeffrey D. Mooers | November 22, 2010 1:34 pm
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.
(your signature here)
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