MDM Test - new calc form | Settlement Benefits

MDM Test: Let’s find out:

MDM Test – How much is your policy worth?

Our Visual Valuator will help you quickly and easily calculate an initial valuation of a life insurance policy. The data-driven analysis will help you personalize this valuation based on the answers you provide. Subsequently, we can collaboratively determine whether obtaining offers for the sale of your policy is appropriate.

Name*

Phone*

Email*

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Embed URL

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Progress

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SalesRep

Internal Policy Analysis

Extended Valuation

What is the face value of your policy?*

How do you pay your premiums?*

One-time payment sometime in the past

Monthly

Quarterly

Annually

I don’t know

What was your premium?*

What are your premiums? (Monthly)*

What are your premiums? (Quarterly)*

What are your premiums? (Annually)*

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Annual Premiums*

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Percentage if user doesn't know their premiums

What type of policy do you have?*

Who is the life insurance carrier?*

Does your policy have any cash surrender value?*

Yes

No

What is your policy's cash surrender value?*

Does your policy currently have a loan against it?*

Yes

No

What is the loan amount?*

Do we have a 3rd party LE to calculate with?*

Yes

No

What is the 3rd party LE?

What is the gender of the insured?*

Male

Female

Do you know the insured's birthdate?*

Yes

No

What is the insured's birthdate?*

What is the age of the insured?*

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Calculated Age

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Calculated Age02

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ageOutput

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Normal Health Fudge Factor

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Life Expectancy

Would you like to skip weight and height questions? You can make this valuation more accurate by including those answers.*

Yes

No

Weight (pounds)

Height (inches)

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BMI

Have you used tobacco in the last 12 months?*

Yes

No

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smokerHQ

How is your health compared to your peers?

On average, how many alcoholic drinks do you have per week?

On average, how many days per week do you exercise?

Do you use any of these assistive devices?

If so, please select which one. If you use multiple types, please select the one that provides the greatest level of assistance.

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assistiveDevicesHQ

Do you dress yourself?

Are you able to get out of bed/a chair by yourself?

Are you using the restroom unassisted?

Are you feeding yourself unassisted?

Have you had any major surgeries?

Please include surgery and approximate year

What prescription medications do you take regularly?

Please include medication name, dosage, and frequency.

Diabetes

Which type of diabetes do you have?

Type 1

Type 2

Was your latest A1c over 8.5?

Yes

No

Are you insulin dependent?

Yes

No

Do you have neuropathy?

Yes

No

Stroke

Do you have permanent complications due to the stroke?*

Yes

No

Cognitive Disorders

What Cognitive Disorders?*

Alzheimer’s

Dementia

Epilepsy

Parkinson’s Disease

Stroke-related cognitive dysfunction

MS

Huntington’s Disease

Lewey Body Disease

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alzheimersTrue

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dementiaTrue

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epilepsyTrue

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parkinsonsTrue

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strokeRelatedTrue

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msCognitiveTrue

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huntingtonsTrue

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lewyBodyTrue

Kidney Disease

Chronic Kidney Disease*

Are you on dialysis?

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dialysisTrue

Liver Disease

Do you have cirrhosis?

Yes

No

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cirrhosisTrue

Do you have fatty liver?

Yes

No

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fattyLiverTrue

Neuromuscular Disease

Neuromuscular Diseases*

ALS

Lambert-Eaton Syndrome

Mitochondrial Myopathy

Motor Neuron Disease

Muscular Dystrophy

Myasthenia Gravis

Peripheral Neuropathy

Polymyositis

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alsTrue

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lambertEatonTrue

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mitochondrialMyopathyTrue

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motorNeuronTrue

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muscularDystrophyTrue

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myastheniaTrue

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polymyositisTrue

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unknown cancer stage

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unknown cancer

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Health Scenario

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Final Max HS

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Max HS

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Health Scenario 1

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Health Scenario 2

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Health Scenario 3

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Health Scenario 4

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Health Scenario 5

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Health Scenario 6

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Max Cancer HS

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Start Thyroid HS

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End Thyroid HS

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Start Stomach/Gastrointestinal HS

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End Stomach/Gastrointestinal HS

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Start Sarcoma HS

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End Sarcoma HS

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Start Renal HS

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End Renal HS

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Start Prostate HS

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End Prostate HS

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Start Pancreatic HS

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End Pancreatic HS

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Start Multiple Myeloma HS

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End Multiple Myeloma HS

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Start Melanoma/Merkel Cell HS

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End Melanoma/Merkel Cell HS

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Start Lung HS

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End Lung HS

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Start Liver HS

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End Liver HS

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Start Leukemia/Lymphoma HS

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End Leukemia/Lymphoma HS

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Start Esophageal HS

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End Esophageal HS

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Start Colon/Rectal HS

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End Colon/Rectal HS

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Start Female Reproductive HS

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End Female Reproductive HS

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Start Brain HS

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End Brain HS

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Start Bile Duct/Gallbladder HS

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End Bile Duct/Gallbladder HS

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Start Breast HS

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End Breast HS

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Start Head/Neck HS

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End Head/Neck HS

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Fudge Factor

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SBALE

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NPV

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NPV

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NPV Year 1

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NPV Year 2

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NPV Year 3

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NPV Year 4

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NPV Year 5

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NPV Year 6

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NPV Year 7

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NPV Year 8

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NPV Year 9

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NPV Year 10

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NPV Year 11

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NPV Year 12

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NPV Year 13

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NPV Year 14

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NPV Year 15

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Direct Buyer's Bid

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SBA NPV Low End

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SBA NPV High End

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Formatted Direct Buyer's Bid

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Formatted SBA Low

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Formatted SBA High

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Formatted NPV

Are you the insured, owner, or financial representative of the owner?

Insured

Owner

Financial representative of the Owner

MDM Test – new calc form

Calculator (MDM – adding in HQ)

MDM Test: Let’s find out:

MDM Test – How much is your policy worth?

Diabetes

Stroke

Heart Disease

Cancer

Cognitive Disorders

Kidney Disease

Autoimmune Disease

Pulmonary Disease

Liver Disease

Neuromuscular Disease

GF006

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