Affordable. Trustworthy. Start now.

We work to get the best possible rates even for those with challenging health concerns.

First things first. The basics.

You will need about 2-4 minutes to finish this process.

Your gender at birth? *

Male

Female

Who needs this insurance?

Are you the person needing insurance? *

This insurance will be on me.

Insurance on someone else.

Insurance on me and someone.

Multiple people selected

Let's just get your info and circle back on other(s).

Gender of to be insured at birth

Male

Female

First things first. The Basics.

Age *

I want options based on answering

a few health questions for better options.

only off my age, no health questions.

How much coverage are you looking to get put in place?

Requested coverage amount range should be between: *

Is there a certain type of insurance you want to get?

What state do you live in?

City of Residence

State of primary residency *

What Is your zip code?

Postal code *

Have you used any tobacco or nicotine products in the past 24 months?

What is your height and weight?

Current height? *

Current weight? *

Usually what is on your drivers license / state id works.

Has there been weight change of 10 pounds in last 12 months?

Gained or lost 10 or more pounds.

Same weight or about the same.

We use this to find you the best rate from over 50 companies.

Have you or a family member had any of the following (cancer, copd, heart attack, or stroke)?

Possible major health issues which means more personalized options. *

Great news! No physical medical examination should be required.

You are also pre-qualified to leave an inheritance for your loved ones with affordable life insurance.

Your next step is to complete the form below

Full Name *

Great news! No physical medical examination should be required.

You are also pre-qualified to leave an inheritance for your loved ones with affordable life insurance.

Your next step is to complete the form below

Referral Phone

We will send your verification to this number.

Great news! No physical medical examination should be required.

You are also pre-qualified to leave an inheritance for your loved ones with affordable life insurance.

Your next step is to complete the form below

Email *

If you prefer quotes to email let us know.

Watch this quick video about what happens next.

Will you verify you are real?

Because this is a highly regulated industry and in compliance with the Patriot Act, can you meet the following federal and state requirements to verify your identity and prevent fraud?

I will verify with a passcode sent to my US cellphone.

I will verify with an id question.

The assigned agent will send you their State License number to verify their identity. You may verify them at National Insurance Producer Registry (NIPR) website.

Congratulations! Let's fast track your case. Please enter your mobile number below

Phone *

We will verify your cellphone number to prove your identify. If our verification service shows a virtual number, we will close out your file as unreachable.

By checking this box and submitting your contact information, you agree to read this and consent to receive phone calls, text messages (SMS), and/or emails from us and/or our partners. These may be sent using an automatic dialing system, artificial intelligence, or pre-recorded voice messages—yes, even if your number is on the Do Not Call Registry. Realistically, it’ll probably just be a friendly human calling or texting you but our lawyers made us mention the fancy stuff to “future-proof” our outreach.

Your consent is not a condition of purchase or receiving any services from us, our partners, or affiliates (we like you either way). By communicating with us by phone, you also consent to calls being recorded and monitored for quality assurance—and possibly to ensure that our agents are as charming as we say they are.

[Terms and Conditions,] and [Privacy Policy], which explain how we store and protect your information in compliance with FTC and FCC regulations, including 10DLC A2P guidelines.

Message frequency varies but we do not spam you, because we hate that too. Message and data rates may apply by your carrier. Text HELP for assistance, or reply STOP anytime to unsubscribe—no hard feelings. People come first and relationships matter so expect a personal touch.

How fast do you want offers?

We shop 50 plus A rated insurance companies to get you the best rates.

How soon do you want coverage to begin? *

Within 48-hours.

3 days to 7 days.

2 weeks to 4 weeks

Unsure or just shopping.

What is the best time to contact you based off your timezone?

Mornings (9-11 AM)

Afternoon (12 PM - 4 PM)

Evenings (5 - 9 PM)

How would you prefer to receive your options?

After having my info verified on the phone, I prefer a state licensed representative to give me my best options:

by a phone conversation.

over Zoom or Google Meet.

All agents are licensed in the state of our clients. All of agents are members of the National Insurance Producer Registry (NIPR).

Do you have a billing preference?

Do you have a preference of how the premium will be paid? *

Whatever gets me the best rates.

Only Checking / Savings

Only Debit / Credit

Note: We are compliant with state and federal laws. All insurance companies that we work with have the highest standards of ethical requirements and require all brokers to be subject to anti-money laundering (AML) regulations, including Customer Identification Program (CIP) requirements under the Bank Secrecy Act (BSA) as implemented by the Financial Crimes Enforcement Network (FinCEN). These regulations require financial institutions, including certain insurance companies, to have procedures to verify the identity of customers and maintain records, but the primary responsibility for verifying bank account information (such as whether it is a legitimate U.S. bank account) lies with the banks themselves. Banks must verify the identity of account holders to form a reasonable belief of the true identity of their customers.

Last things last. We will start shopping your best options now.

We use this to verify that you are not a robot. Please answer the question which our agent will use to verify they are authorized us to contact you.

Your digital signature *

Clear

What is your favorite book, tv show, musician, or movie? *

Copyright © 2023-2026 All Rights Reserved. | Privacy and Terms of Service. Myinsurancesecret.com is part of Adair Life Insurance which is a private insurance brokerage located in Hampstead NC. We use phone, text, and/or email to reach our clients when they opt in to our service. We do not cold call because it bugs us too. If you sign up for us to reach out then we will contact you as soon as possible and will use two identifying questions. Normally we call between 9 AM to 7 PM. All of agents work under independent licenses with their own unique license numbers. These numbers will be furnished at time of booking an appointment and can be confirmed at the National Insurance Producers Registry. All agents much sign our core values pledge. We promise to do the right thing because relationships matter and people come first.

CONTACT US

Offices in Hampstead, NC

Phone: 910-708-4887

Affordable. Trustworthy. Start now.

We work to get the best possible rates even for those with challenging health concerns.

What is your height and weight?

Besides vitamins have any medications been prescribed in the last 25 months?