Are Your Loans & Lifestyle Totally Protected? 1

APPLICATION CHECKLIST . COMPREHENSIVE ASSET PROTECTION TEN YEAR / OPTION “C” $250,000 Life / $100,000 Critical Illness / $3,000 DI $170.00 MONTHLY PREMIUM David Collins 405-616-7714 / dc@usabg.net Thank you for the opportunity to provide your asset protection needs. So that you can complete the application easily and completely, be sure you have the following information available for each person applying for coverage. • Birth Date for each person * Driver License Number For Each Person • Social Security Number for each person • Height/weight for each person • Medical history, such as dates of diagnosis, treatment, dates of service, and current status • Prescription drug information such as: drug names, dosages, and date initially prescribed. • Physician/treatment facility contact information • Payment information: automatic bank withdrawal, please have your bank account number and bank routing number

Who is USA Benefits Group? About the Company USA Benefits Group is a nationwide network of Life and Health insurance professionals that have been serving small business owners and the self-employed since 1988. Non-captive agents working for you, not the insurance company 26 years of Health and Life Insurance Specialization A+ rating with the Better Business Bureau Representing top-rated companies as determined by A.M. Best About Your Agent 39 Years Of Providing insurance Solutions For The Question: “Are You Totally Protected” USA Benefits Group Eagle Division Manager since 2003 1000 Business Mortgage Protection Customers CLU certified since 2002 David L. Collins Executive VP USABG 3

USA BENEFITS GROUP EAGLE DIVISION TOTAL PROTECTION PLUS Business mortgage + Loans + Long Term Leases STABILITY & SECURITY WITH USABG EAGLE DIVISION Nationwide network of insurance professionals serving home owners since 1977. 39 years of providing Mortgage + Loan + Long Term Leases Protection solutions for the WHAT IF of life! Over $550 million in business, while insuring 100,000 thousand small business owners We have witnessed over a billion dollars in asset claims. We know what you need to protect your debts and lifestyle TOTAL BUSINESS ASSET PROTECTION PLUS PAYMENT SECURITY We cover everything that affects your mortgage Die before the end of your mortgage Have a Critical Illness Event Cancer + Accident + Heart + Stroke Have a accident disability

Dying Is Not The Greatest Risk To Your Business *82% Heart • Stroke • Cancer Accidents All other procedures and surgeries STATISTICS FOR HOSPITAL CONFINEMENTS *AMERICAN HOSPITAL ASSOCIATION 68% of all hospital confinements are related to the 3 most common critical illnesses SIX TIMES MORE LIKELY THAN DYING WE WOULD PAY $100,000 ON DIAGNOSIS WOULD PAY MEDICAL EXPENSES WOULD PAY MORTGAE PAYMENT WOULD PAY LIVING EXPENSES 14% of all hospital confinements are related to disabilities from accidental injuries. FIVE TIMES MORE LIKELY THAN DYING WE WOULD PAY THE MORTGAGE FOR 24 MONTHS IF THE ACCIDENT INVOLVES MAJOR BURNS OR PARALYSIS WE WOULD ALSO PAY $100,000 ON DIAGNOSIS 5

USABG Loan Protection Plus If Cancer Or An Accident Was In Your Future Which Plan Would You Prefer ?? Standard Protection IF YOU DIE We Pay Off Mortgage + Waiver Of Premium SECURITY DEATH AND CI EVENTS Protection Plus IF YOU DIE We Pay Off Loans + CRITICAL ILLNESS We Pay $100,000 Cash ACCIDENT DISABILITY We Pay $3,000 90 Day Wait Two Year Benefit + WAIVE PREMIUM CRITICAL ILLNESS DEATH BENEFIT ACCIDENT DISABILITY

What if this happened to you What if this happened to you? 80% USE UP ALL THEIR LIFE SAVINGS What would you do? THESE CLAIMS ARE ALL MY CUSTOMERS BREAST CANCER 15 MONTHS OF LOST INCOME Received $100,000 On Diagnoses HEART ATTACK WITH SURGERY 13 MONTHS OF LOST INCOME ACCIDENT WITH 7 SURGERIES 24 MONTHS OF LOST INCOME 90 Day Wait. Received $3,000 Monthly For 21 Months OUR GOALS ARE SIMPLE, PROTECT YOUR ASSETS Provide Money To Pay Bills On Critical Illnesses And Accidents Pay All Out Of Pocket Cost On Your Major Medical Pay Off Loans If You Die Waive The Premium If You Have Any Disability