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» The Paul Revere Life Insurance Company
The Paul Revere Life Insurance Company
Now a part of Unum Corporation. You may either contact them at:
The Paul Revere Life Insurance Company
18 Chestnut St.
Worcester, MA 01608
(800) 799-0990
OR
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Type of Insurance
Term Life
Whole Life
Coverage Amount
Years of Coverage
$100,000
$200,000
$300,000
$400,000
$500,000
$600,000
$700,000
$800,000
$900,000
$1,000,000
$1,500,000
$2,000,000
$3,000,000
$4,000,000
$5,000,000
$10,000,000+
10 Years
15 Years
20 Years
30 Years
Height
Weight (lbs)
Date of Birth
4' 0
4' 1
4' 2
4' 3
4' 4
4' 5
4' 6
4' 7
4' 8
4' 9
4' 10
4' 11
5' 0
5' 1
5' 2
5' 3
5' 4
5' 5
5' 6
5' 7
5' 8
5' 9
5' 10
5' 11
6' 0
6' 1
6' 2
6' 3
6' 4
6' 5
6' 6
6' 7
6' 8
6' 9
6' 10
6' 11
7' 0
7' 1
7' 2
7' 3
7' 4
mm
Jan
Feb
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Apr
May
Jun
Jul
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Dec
dd
01
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yyyy
1904
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1975
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1977
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1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
Gender
Male
Female
Tobacco Use
No
Yes
Medical condition?
No
Yes
AIDS/HIV
Liver Disease
Alzheimer's Disease
Pulmonary Disease
Heart Disease
Mental Illness
Cancer
Stroke
Kidney Disease
Diabetes
Drug Abuse
Hazardous job?
No
Yes
______________________________________
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