220 W. Campus Drive, Suite 100 Arlington Heights, IL 60004  (847) 870-1700  Fax (847) 870-1775

Professional & Business Needs
Individual Needs

Ohio National's FlexTerm Series of 10-, 15-, and 20-year term life insurance products may provide the answer, protection , and choices you need.  Your FlexTerm protection is tailored to fit your specific needs and it's affordable.  You Choose how much insurance you need ... how long you need it .. and whether you prefer more features or the lowest possible cost.

Term insurance provides low-cost protection for such needs as:

  • Income replacement for your family in the event of your death, and
  • Funding a buy-sell agreement or a key person insurance plan.

With FlexTerm, you have the option to convert to permanent life insurance coverage when your needs change.   Fill out the form below and press submit and a representative from Weinberg and Associates will contact you to talk about purchasing low-cost term insurance.

Weinberg & Associates has representatives licensed to sell insurance products in IL, WI, IN, AZ, FL, MI, and AL.  Others may be added in the future.

Request for Term Insurance Quotes

First Middle Initial Last
Address 1
Address 2
Daytime Phone Number
Evening Phone Number
Email Address
Tobacco User
No Month / Year stopped if applicable:
Yes Cigarettes    Cigar, Pipe, Chewing
Amount Requested $
Benefit Period 10 year, 15 year, 20 year
Health History Excellent, Good, Fair
Notable Health Conditions
Currently on Medications? Yes, No
If yes, please list name, dose, and frequency of medications.

Insurance products may be issued by the Ohio National Life Insurance Company or the Ohio National Life Assurance Company.  Product Availability varies by state.  Companies not licensed in AK, HI, or NY.


(c) Copyright 2007 Weinberg & Associates, Inc. All rights reserved.

*Securities offered through The O.N. Equity Sales Company Member FINRA/SIPC, One Financial Way, Cincinnati, OH 45242 (513) 794-6794
*Licensed in the states of IL, WI, IN, AZ, FL (Lic #: 040391)