- for Public Sector Mortgage Protection Insurance

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Please enter your age * *
Enter your monthly mortgage payment *	£  pm
Choose your cover Combined ASU Accident & Sickness only Unemployment only
How many months do you currently receive full sick pay? (?) 1 2 3 4 5 6
Choose how long you want to be paid per claim (benefit period) (?) 3 months 6 months 12 months
Your premium per month	£ pm

Multiple Claims are permitted (subject to re-qualification periods) for the life of the policy that continues until you cancel or retire.