Live Chat
Phone: 310-820-5200
Email:
Service@SusmanInsurance.com
11611 San Vicente Blvd.
Los Angeles, CA 90049
Main menu
Skip to primary content
Skip to secondary content
Home
Customer Service
Forms
Metlife Form
Recommend a Friend
Payments
Policy Service
CS Email Form
iPhone App
New Quotes
Homeowners Insurance
Auto Insurance
Life Insurance
Health Insurance
Electronics Breakage Insurance
Travel Insurance
News and Information
Contact Us
Metlife Form
Name
*
Date
Email
Step 1 - Monthly Income
*
Step 2 - How Much?
*
Step 3 - How Long?
Step 5 - Additional Amount
Leaving Inheritence is Important
*
Agree
Disagree
Page 4 - Question 2 - my adult children will depend on me
*
Agree
Disagree
Page 4 - Question 3 - I want least expensive that will expire
*
Agree
Disagree
Page 4 - Question 4 - Limited period
*
Agree
Disagree
Page 4 - Question 5 - ensure spouse gets death benefit
*
Agree
Disagree
Page 4 - Question 6 - replace full income in working years
*
Agree
Disagree
Page 4 - Question 7 - regardless of length of life, insurance should be in place until I die
*
Agree
Disagree
Page 4 - Question 8 - Convert to Permanent Insurance Later
*
Agree
Disagree
Allocation - Question 1 - Guarantee premium and benefit
*
Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
Allocation - Question 2 - Flexibility to increase or decrease
*
Strongly Agree
Agree
Unsure
Disagree
Strongly Agree
Allocation - Question 3 - Casch Value Should Grow
*
Strongly Agree
Agree
Unsure
Disagree
Strongly Agree
Allocation - Question 4 - Need to more tax free options
*
Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
Allocation - Question 5 -Cash vlaue - need guarantee
*
Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
Allocation - Question 6 - Cash Value - will accept risk
*
Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
Comments
This field is for validation purposes and should be left unchanged.
Share and Enjoy: