Cancer Insurance Application

1.  Has any Proposed Insured been diagnosed with or treated for Human Immunodeficiency Virus (HIV), Acquired Immune Deficiency Syndrome (AIDS), or Aids Related Complex (ARC) or AIDS related condition?

2.  Has any Proposed Insured been advised by a medical professional to undergo treatment, futher diagnostic evaluation or testing, or recently had diagnostic test performed where the results are still pending or were incomclusive for any medical condition?

3.  Is any Proposed Insured currently receiving treatment, ever had treatment, or been advised to have treatment for internal cancer ( including skin), lymphoma, leukemia, or melanoma?

4.  Within the past 5 years, has any Proposed Insured had persistenly abnormal PSA readings, or abnormal mammogram, pap smear, colonoscopy, or other cancer screening test where cancer has not been ruled out?