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A simple, open-ended tool that allows you to speed up the process of selling life and health insurance products to your clients. Selling La Capitale life and health insurance products has never been easier.

Take advantage of all our quick online application's features today!

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Speedy completion and submission of your term and permanent life insurance applications to La Capitaleincluding the new Pure and Enhanced series products.


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Feature for attaching the following popular riders:

  • Fixed term rider
  • Disability income benefit 
  • Critical illness
  • Accidental fracture
  • Accidental death or dismemberment

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Remote electronic signature, simplifying submission to La Capitale


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Feature for attaching supplementary documents 


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Continually evolving platform to meet your needs and keep up with the market

Notes: 

  • At this time, the quick online application can only be used for a single person, meaning the policyholder must be the insured. 
  • ​Internet Explorer is not supported by the quick online application.

Do you have any questions?

Contact our brokerage support team at 1 888 392-2583 
or at brokerage.support@lacapitale.com.

Frequently asked questions

Start using the quick online application today!

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