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800-411-8100
845-362-1810

FAX
845-362-1881

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P.O. Box 292
Pomona, NY 10970

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65 Tranquility Road
Wesley Hills, NY
10901

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IMPAIRED RISK FORMS
Please select from the list below
courtesy of
Go to Pru-Express!
  1. Abdominal Aortic Aneurysm
  2. Adrenal Insufficiency (Including Addison's Disease)
  3. Adrenal Mass
  4. Alcohol
  5. Angina
  6. Aortic Valve Disorder
  7. Asthma
  8. Athlete's Heart
  9. Atrial Fibrillation
 10. Atrial and Ventricular Septal Defects
 11. Atrioventricular Blocks (A-V Blocks)
 12. Attention Deficit Hyperactivity Disorder (ADHD)
 13. Avocations - Mountain Climbing
 14. Barrett's Esophagus
 15. Benign Prostatic Hypertrophy (BPH) and Prostatitis
 16. Bilirubin & Alkaline Phosphates
 17. Bladder Cancer
 18. Blood Tests
 19. Brain Natriuretic Peptide (BNP)
 20. Breast Cancer
 21. Bronchiectasis
 22. Build
 23. Bundle Branch Block (BBB)
 24. Business Insurance: Underwriting Considerations For IPO's and "Start-Ups"
 25. CT and MRI Cardiac Imaging
 26. Calcium and Parathyroid Disease
 27. Cancer - General Concepts and Terms
 28. Carbohydrate-Deficient Transferrin (CDT)
 29. Cardiac Catheterization
 30. Carotid Artery Disease Ultrasound
 31. Cerebrovascular Accident (Stroke)
 32. Cervical Cancer
 33. Chronic Lymphocytic Leukemia
 34. Chronic Obstructive Pulmonary Disease (COPD)
 35. Clots and Emboli
 36. Colon Polyps
 37. Colorectal Cancer
 38. Complete Blood Count
 39. Coronary Artery Bypass Graft (CABG)
 40. Coronary Artery Disease - Plaque Burden
 41. Coronary Artery Disease - Therapeutic
 42. Cotinine Test for Smokers
 43. Crohn's Disease
 44. Cushing's Syndrome
 45. Cystic Fibrosis
 46. Depression and Anxiety Disorder
 47. Diabetes Mellitus Complications
 48. Diabetes Mellitus Controlled
 49. Diabetes Mellitus
 50. Dilated Cardiomyopathy
 51. Drug Abuse
 52. Eating Disorders
 53. Electrocardiograms and T-Wave Changes
 54. Employee Stock Ownership Plans (ESOP)
 55. Endometrial (Uterine) Cancer
 56. Enlarged Heart
 57. Epilepsy
 58. Estimated Glomerular Filtration Rate
 59. Evaluation of Coronary Artery Disease
 60. Exercise (Stress) Electrocardiograms (ECGs)
 61. Financial Underwriting - Key Employee
 62. General Avocations
 63. Glomerulonephritis
 64. Hairy Cell Leukemia
 65. Headaches
 66. Heart Disease In Women
 67. Heart Failure
 68. Hemochromatosis
 69. Hepatitis A, B, C
 70. Hepatitis B
 71. Hepatitis C
 72. Homocysteine
 73. Hypercoagulable Clotting Disorders
 74. Hypertension (High Blood Pressure)
 75. Hypertrophic Cardiomyopathy
 76. Income Protection Financial Underwriting
 77. Individual Inquiry Offers
 78. Insurance Medicine
 79. Interstitial Lung Disease
 80. Iron Deficiency Anemia
 81. Irregular Heart Beat
 82. Kidney Function Tests (KFTs)
 83. Kidney Transplants
 84. Laboratory Issues
 85. Lipid Levels - The Risk of Arteriosclerosis
 86. Liver Cirrhosis
 87. Liver Tests
 88. Lymphoma
 89. Medical Information Bureau (MIB)
 90. Metabolic Syndrome X
 91. Mild Cognitive Impairment and Dementia
 92. Mitral Valve Disorder
 93. Mitral Valve Prolapse (MVP)
 94. Monoclonal Gammopathy
 95. Multiple Sclerosis
 96. Myocardial Infarction (Heart Attack)
 97. Nonalcoholic Fatty Liver Disease
 98. Older Age Diabetes
 99. Older Age Underwriting: Frisky vs. Frail
100. Ovarian Cancer
101. Pacemakers
102. Pancreas
103. Panhypopituitarism
104. Parkinson's Disease
105. Patent Foramen Ovale (PFO), Atrial Septal Aneurysm (ASA)
106. Peptic Ulcer Disease
107. Percutaneous Transluminal Angioplasty (PTCA)
108. Peripheral Neuropathy
109. Peripheral Vascular Disease (PVD)
110. Personality Disorders
111. Pheochromocytoma
112. Physical Fitness or Treadmill Credits
113. Polycystic Kidney Disease
114. Polycythemia Vera
115. Pregnancy
116. Premium Financing
117. Prostate Cancer
118. Prostate Specific Antigen (PSA)
119. Prostatic Intraepithelial Neoplasia (PIN) and Atypia
120. Proteinuria
121. Pulmonary Function Tests (PFTs)
122. Pulmonary Nodules
123. Rating Reductions
124. Rheumatoid Arthritis
125. Sarcoidosis
126. Scleroderma/Crest
127. Scuba Diving
128. Sickle Cell Anemia
129. Single Employer 419(e) Welfare Benefit Plans
130. Skin Cancer
131. Sleep Apnea
132. Spinal Cord Injury
133. Substance Abuse - General Terms
134. Systemic Lupus Erythematosus (SLE)
135. Testicular Cancer
136. Thrombocytopenia
137. Thrombocytosis
138. Thyroid Cancer
139. Thyroid Disease
140. Transient Ischemic Attack (TIA)
141. Tuberculosis (TB)
142. Tumor Markers
143. Ulcerative Colitis
144. Ultrafast CT and Coronary Artery Disease
145. Underwriting Cover letter
146. Urinalysis
147. Valvular Heart Surgery
148. Viral Infections
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