Get a Life Insurance Quote

 

Fields marked with an asterisk (*) are mandatory.

Look out for the Help - link opens in a new window icon - click the symbol for help on how to fill out this form.

About You
Applicant 1
Applicant2
Gender*
Date of birth (DD/MM/YY)*
Have you smoked any form of
tobacco in the last 12 months?*
Your Policy
Type of policy*
Policies explained - link will open in a new window
Waiver of premium option*
Waiver of premium - link will open in a new window
Amount of cover (£)*
Amount of cover - link will open in a new window
OR
Monthly Premium (£)*
Amount of cover - link will open in a new window
Term of policy*
Years
Current Postcode
  
Home phone number
E-mail address
If you give us your email address, we’ll keep you up to date with all the latest news and offers from the AA and Acromas Group of Companies, and our partners, we will also use it to send you confirmation of quotation.

Terms and conditions of your cover are available online and we'll send you complete documentation after you have bought your policy.

AA Life Insurance is available from Automobile Association Insurance Services Limited (AAIS) an insurance intermediary authorised and regulated by the Financial Services Authority (FSA). You can check on the FSA's register by visiting the FSA's website www.fsa.gov.uk/register/home.do or by contacting the FSA on 0845 606 1234.

Automobile Association Insurance Services Limited. Registered Office: Fanum House, Basing View, Basingstoke, Hampshire, RG21 4EA. Registered number: 2414212 England