AI Life Form — Clickable Prototype
AI Life Form
Agent-assisted underwriting prototype — sample data only
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Turn it on, then conduct the call naturally. Spelled names and addresses are handled carefully.
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New Client

Designed for you to complete while the client is live on the phone.

Payment & Coverage

Potential carriers remaining: 10

How will premiums be paid?

CheckingSavingsDirect ExpressOtherNo account

Health Interview

Potential carriers remaining: 8

Selecting a condition can reveal only the follow-up questions that matter to remaining carriers.

Has the client had any of these?

Heart attack / heart diseaseStroke / TIADiabetesCOPD / respiratory diseaseCancerKidney / liver diseaseDementia / Alzheimer'sUses cane / walker

Living / recent care

Carrier Match

Age 72Non-nicotineChecking

3 sample carrier matches from this agent's enabled carrier list
Transamerica
Potential pre-screen fit — final eligibility subject to carrier underwriting.
Quote 1
Quote 2
Quote 3
Ethos
Potential pre-screen fit.
Quote 1
Quote 2
Quote 3
Carrier 3
Only carriers enabled for the logged-in agent appear here.

Save to Pipeline

Pipeline

New
Contacted
Quoted
App Started
Submitted
Placed

Prototype only: this file does not transmit or store real client data. Production version should use authenticated, encrypted storage for sensitive health/identity data and email only masked identifiers.