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Phone
800-411-8100
845-362-1810
FAX
845-362-1881
Postal Mail
P.O. Box 292
Pomona, NY 10970
Overnight/FEDEX
65 Tranquility Road
Wesley Hills, NY
10901
E-mail
INFO@FENSTERINC.COM
"We make
LIFE
easy!"
IMPAIRED RISK FORMS
Please select from the list below
courtesy of
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 and Ventricular Septal Defects
10.
Atrial Fibrillation
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.
Breast Cancer
20.
Bronchiectasis
21.
Build
22.
Bundle Branch Block (BBB)
23.
Business Insurance: Underwriting Considerations For IPO's and "Start-Ups"
24.
Calcium and Parathyroid Disease
25.
Cancer - General Concepts and Terms
26.
Cardiac Catheterization
27.
Carotid Artery Disease Ultrasound
28.
Cerebrovascular Accident (Stroke)
29.
Cervical Cancer
30.
Chronic Lymphocytic Leukemia
31.
Chronic Obstructive Pulmonary Disease (COPD)
32.
Clots and Emboli
33.
Colon Polyps
34.
Colorectal Cancer
35.
Coronary Artery Bypass Graft (CABG)
36.
Coronary Artery Disease - Plaque Burden
37.
Coronary Artery Disease - Therapeutic
38.
Cotinine Test for Smokers
39.
Crohn's Disease
40.
CT and MRI Cardiac Imaging
41.
Cushing's Syndrome
42.
Cystic Fibrosis
43.
Depression and Anxiety Disorder
44.
Diabetes Mellitus
45.
Diabetes Mellitus Classification
46.
Diabetes Mellitus Complications
47.
Diabetes Mellitus Controlled
48.
Dilated Cardiomyopathy
49.
Drug Abuse
50.
Eating Disorders
51.
Electrocardiograms and T-Wave Changes
52.
Employee Stock Ownership Plans (ESOP)
53.
Endometrial (Uterine) Cancer
54.
Enlarged Heart
55.
Epilepsy
56.
Evaluation of Coronary Artery Disease
57.
Exercise (Stress) Electrocardiograms (ECGs)
58.
Financial Underwriting - Key Employee
59.
Foreign Residence and Travel
60.
General Avocations
61.
Glomerulonephritis
62.
Hairy Cell Leukemia
63.
Headaches
64.
Heart Disease In Women
65.
Heart Failure
66.
Hemochromatosis
67.
Hepatitis A, B, C
68.
Hepatitis B
69.
Hepatitis C
70.
Homocysteine
71.
Hypercoagulable Clotting Disorders
72.
Hypertension (High Blood Pressure)
73.
Hypertrophic Cardiomyopathy
74.
Income Protection Financial Underwriting
75.
Individual Inquiry Offers
76.
Individual Inquiry Offers (Agency Distribution)
77.
Insurance Medicine
78.
Interstitial Lung Disease
79.
Iron Deficiency Anemia
80.
Irregular Heart Beat
81.
Kidney Function Tests (KFTs)
82.
Kidney Transplants
83.
Laboratory Issues
84.
Lipid Levels - The Risk of Arteriosclerosis
85.
Liver Cirrhosis
86.
Liver Tests
87.
Lymphoma
88.
Medical Information Bureau (MIB)
89.
Metabolic Syndrome X
90.
Mild Cognitive Impairment and Dementia
91.
Mitral Valve Disorder
92.
Mitral Valve Prolapse (MVP)
93.
Monoclonal Gammopathy
94.
Multiple Sclerosis
95.
Myocardial Infarction (Heart Attack)
96.
Nonalcoholic Fatty Liver Disease
97.
Older Age Diabetes
98.
Older Age Underwriting: Frisky vs. Frail
99.
Ovarian Cancer
100.
Pacemakers
101.
Pancreas
102.
Panhypopituitarism
103.
Parkinson's Disease
104.
Patent Foramen Ovale (PFO), Atrial Septal Aneurysm (ASA)
105.
Peptic Ulcer Disease
106.
Percutaneous Transluminal Angioplasty (PTCA)
107.
Peripheral Neuropathy
108.
Peripheral Vascular Disease (PVD)
109.
Personality Disorders
110.
Pheochromocytoma
111.
Physical Fitness or Treadmill Credits
112.
Polycystic Kidney Disease
113.
Polycythemia Vera
114.
Pregnancy
115.
Premium Financing
116.
Prostate Cancer
117.
Prostate Specific Antigen (PSA)
118.
Prostatic Intraepithelial Neoplasia (PIN) and Atypia
119.
Proteinuria
120.
Pulmonary Function Tests (PFTs)
121.
Pulmonary Nodules
122.
Rating Reductions
123.
Rheumatoid Arthritis
124.
Sarcoidosis
125.
Scleroderma/Crest
126.
Scuba Diving
127.
Sickle Cell Anemia
128.
Single Employer 419(e) Welfare Benefit Plans
129.
Skin Cancer
130.
Sleep Apnea
131.
Spinal Cord Injury
132.
Substance Abuse - General Terms
133.
Systemic Lupus Erythematosus (SLE)
134.
Testicular Cancer
135.
Thrombocytopenia
136.
Thrombocytosis
137.
Thyroid Cancer
138.
Thyroid Disease
139.
Transient Ischemic Attack (TIA)
140.
Tuberculosis (TB)
141.
Tumor Markers
142.
Ulcerative Colitis
143.
Ultrafast CT and Coronary Artery Disease
144.
Underwriting Cover letter
145.
Urinalysis
146.
Valvular Heart Surgery
147.
Viral Infections
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