Income Protection Online Application

Unemployment and Income Protection Cover

What type of cover would you like a quote for?
(You can select both cover types if required).

Unemployment and Short Term Income Protection (Sickness) Cover for up to 12 months

Income Protection (Sickness) Cover until you retire

Name:

Sex:

Date of birth (DD/MM/YYYY):

Do you smoke or have you smoked in the last 12 months?

Yes No

Employment Status:

Occupation:

Current Annual Earned Income (£):

Need more help?

Sales Support and Service Number
0844 871 1340

General enquiries
0844 871 1341

Protect your bubble life insurance and income protection is provided and administered by Direct Life & Pension Services Ltd, who are authorised and regulated by the Financial Services Authority. Registered Office; Pinnacle House, A1 Barnet Way, Borehamwood, Hertfordshire WD6 2XX. Registration number 2467691.

Calls to 0844 numbers cost 5p per minute from a BT landline. Calls from other networks may vary and calls from mobile phones could be considerably higher.

Close window

Protect your bubble is a trading name of Assurant Direct Limited (Company No. 5399683); an Appointed Representative of Assurant Intermediary Limited (Company No. 4019801). Assurant Intermediary Limited is authorised and regulated by the Financial Services Authority (Registered No. 311243). Assurant Direct Limited and Assurant Intermediary Limited are subsidiaries of Assurant Group Limited (Company No. 3264846). VAT No. 577650307. All companies are registered in England and Wales.

Protect your bubble life insurance and income protection is provided and administered by Direct Life & Pension Services Ltd, who are authorised and regulated by the Financial Services Authority. Registered Office; Pinnacle House, A1 Barnet Way, Borehamwood, Hertfordshire WD6 2XX. Registration number 2467691.

Direct Life & Pension Services Ltd may record telephone calls for quality assurance purposes.