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.


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).  These plans are perfect if you need coverage between "Obamacare" open enrollment periods.

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.

NEW OPTIONS - Great rates on Auto & Home Insurance Policies

We have great new rates on auto and home insurance.  Please click here to request a quote.

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.


Items in BOLD are required.
Date:  10/20/2014


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 in the past 24 months?
Do you ever climb solo or free (without use of climbing aids)? If Yes, please provide details below:
If yes, please describe
Travel and climbing plans for the next 24 months? (only list trips and climbs that are actually scheduled and/or booked)
Travel and climbing experience in the last 24 months (If applicable, please include highest YDS grade/numerical difficulty rating in the last 24 months)
Type(s) of climbing:





please provide details to the types of climbing you engage in
Any climbs in the past 24 months above 13,000 feet (4,000 meters)? If Yes, provide details including total number of climbs, heights attained and safety equipment used. Please also include the country/region and the name of the peak(s) and route(s) and, if applicable, include the YDS grade/numerical difficulty rating (should correspond with your answers above)
Please provide details below
Please check any additional activities you have done in the past 24 months or intend to do in the next 24 months




Please provide additional activity details below
Interested in other products? Click all that apply