Questionnaires for medical impairments/avocations

Kristie Carlsen is MVP’s Director of underwriting. To help her more accurately review your case, please complete the appropriate form below.

You may also email your underwriting questions to mvpinfo@mvp4me.com.

Quote the right class the first time* – Complete the general information in the forms below: Underwriting criteria questionnaire or for a more comprehensive questionnaire use the Preliminary underwriting questionnaire.

Underwriting criteria questionnaire Preliminary application HIPAA authorization form Working with MVP-FAQ

Scroll down for specific Impairment underwriting information.

Kristie Carlsen

Director of underwriting

Underwriting Questionnaires

Access a comprehensive range of underwriting questionnaires designed to help you gather the information needed to move your case through the underwriting process.

Most questionnaires can be found in the Library section. If you don't find what you need there, check the Additional Questionnaires section.

Your MVP Financial representative is available to help you find the right questionnaire or assist with any underwriting questions.

Questionnaire library

Browse medical impairment, avocation, foreign national/travel, and miscellaneous questionnaires.

Additional questionnaires

Looking for a questionnaire not available in the library above? See below.

  • Build
  • Driving
  • General travel / residence
  • Foreign questionnaire
  • Underwriting special needs
  • Bundle branch block
  • Congenital heart failure
  • Coronary bypass
  • Enlarged heart
  • Hypertension
  • Cerebral palsy
  • Dementia / Alzheimer's
  • Down syndrome / Intellectual disability
  • Neuromuscular disorder
  • Seizure disorder
  • Eating disorders
  • Mental disorders
  • Personality disorders
  • Substance use
  • Schizophrenia
  • Cushing syndrome
  • Diabetes mellitus
  • Hyperglycemia
  • Hypothyroidism
  • Thyroid disease
  • Emphysema
  • Kidney transplant
  • Liver disease
  • Pancreatitis
  • Elevated PSA

Some resources are carrier specific and may require agent or carrier portal access.
Please contact your MVP representative for assistance.

Have questions about a case?

Your MVP Financial team is here to help with case design, underwriting guidance, financial guidance, and practical solutions.

Contact Your MVP Financial Representative