Individual/Family Health Plans


If your employer does not offer group insurance, or if the insurance offered is very limited, you can buy an individual policy for yourself and/or your family.

Business/Group Health Plans


Not all employers offer health insurance. You might find this to be the case with your job, especially if you work for a small business or work part-time. If your employer does not offer health insurance, please contact us today for a customized, no obligation quote.

Health Savings Accounts (HSAs)


An HSA works like an IRA, except that money is used to pay health care costs. Participants enroll in a relatively inexpensive high deductible insurance plan. Then, a tax-deductible savings account may be opened to cover current and future medical expenses.

Short Term Medical


Are you between jobs or in need of temporary health insurance? Our short-term solution offers you coverage for 30 to 365 days (varies by state)

Life Insurance

Apply for up to $5 million in life insurance protection over-the-phone in as little as 5 minutes!  We work with a large number of highly rated life insurance companies who provide both Term and Permanent life insurance plans at great rates.

Disability Income

We have great rates on both individual and small business Disability plans.  Options include Short Term and Long Term DI policies for a wide variety of professions.

Long-Term Care Insurance

Let us shop for your long-term care plan today!  We have access to the leading long-term care insurance companies in the country.

Medicare Supplement Plans

We offer a variety of traditional Medicare Supplement plans to those over 65 years of age.

Travel Insurance

We are pleased to provide access to a comprehensive travel insurance plan!  The plan can be built to include coverage for trip interruption, trip cancellation, lost, stolen or damaged sports equipment, pre-paid, non-refundable permit/license fee costs, medical expenses and much more. 

Items in BOLD are required.
Date:  5/18/2012


Welcome to the American Alpine Club Life Insurance Program!  We stand ready to assist AAC members in their search for affordable "climbing friendly" life insurance plans. 

Instead of taking a "one size fits all" approach, we work closely with our various insurance company partners to create a custom policy that suits your needs.  In order to do so, we need to get to know you and learn more about your current health and climbing activities.  Therefore, we ask that you complete the form below.

Thank you for this opportunity to be of service!
First Name
Last Name
Email Address
Phone Number
Resident State
Zip Code
DOB
Gender
Health
Tobacco Use?
Are you a current AAC Member?
How much life insurance are you looking for? (we can quote face amounts as low as $10,000 and as high as $10,000,000)
Desired length of coverage?
Comments:
How long have you been climbing?
Date of your last climb?
Total number of climbs?
Average height of climbs?
Do you ever climb solo or free (without use of climbing aids)? If Yes, please provide details below:
Comments
Travel and climbing intent for the next 12 months
Travel and climbing experience the last 24 months (If applicable, please include highest WDS grade/numerical difficulty rating in the last 24 months)
Type(s) of climbing:
Comments:
Season(s) of the year when you climb:
Any climbs above 13,000 feet (4,000 meters)? If Yes, provide details including total number of climbs, heights attained, frequency and safety equipment used:
Comments:
Additional Information/Details:
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