928 Valley View Drive, Suite 18, Council Bluffs, IA 51503
(712) 322-2444
(712) 322-6202
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Who We Are
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Meet the Team
Travis Huck, CFA, AIF®
Mike Huck, CFP®
Taylor Huck, CFP®, AIF®
Tyler Johnson
Alivia Bascue
Shelby Norby
Why Work with a CFP®?
What is a CFA® Charterholder?
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Home
Who We Are
Our Firm
Meet the Team
Travis Huck, CFA, AIF®
Mike Huck, CFP®
Taylor Huck, CFP®, AIF®
Tyler Johnson
Alivia Bascue
Shelby Norby
Why Work with a CFP®?
What is a CFA® Charterholder?
Products & Services
Financial Services
Financial Planning
Retirement Planning
Estate Planning
Business & Farm Succession
Employer Sponsored Plans
Individual Retirement Accounts
Portfolio Management
Accumulation & Preservation
Investment Services
Mutual Funds
Stocks
Bonds
Variable Annuities
Fixed Annuities
Insurance Services
Life Insurance
Long-Term Care Insurance
Client Access
Client Logins
Appointment Checklist
Request an Appointment
Request a Quote
Resources
Financial Charts
Markets & Research
Useful Websites
Contact
Get a Quote
Quote Request Form
Please select what type of custom quote you would like us to provide. (* denotes required)
Select Type of Quote:
[Select Quote]
Life Insurance
Long Term Care Insurance
Disability Insurance
401(k) Information Request
General Information Request
Personal Information
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Armed Forces Americas
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Life Insurance Policy Information
Select desired Death Benefit:
<Please Select>
$100,000
$125,000
$150,000
$175,000
$200,000
$250,000
$300,000
$400,000
$500,000
$750,000
$1,000,000
$2,000,000
$3,000,000
$5,000,000
More than $5,000,000
What type of policy are you looking for?
<Select Type>
Annual Renewable Term
Level Term
Whole Life
Universal Life
Second-to-Die
Not Sure
How long do you want the policy to be in effect?
<Please Select>
10 or more years
15 or more years
20 or more years
25 or more years
30 or more years
My Whole Life
Tell Us About Your Work
What is your Occupation?
Describe your daily duties:
Do you own a business?
Yes
No
Estimate Your Current Monthly Income:
Is Disability Insurance part of your benefit package?
Yes
No
Disability Policy Information
Disability insurance helps replace income lost because of an accident or illness. One survey found that 43% of people aged 40 will suffer a disability of at least 90 days before they reach age 65. – 2000 Field Guide, National Underwriter
How much of your income do you want disability insurance to replace?
[Select]
40%
50%
60%
70%
If you become disabled, what's your desired waiting period before benefits begin?
[Select]
30 days
60 days
90 days
180 days
If you become disabled, how long do you want to be eligible for benefits?
[Select]
2 years
5 years
10 years
Unil 65
Long-Term Care Policy Information
One of the greatest potential risks faced by America’s elderly is the need for long-term care. Long-term care insurance transfers a portion of the risk of long-term care expenses to an insurance company helping to protect you and your family from potentially devastating expenses.
What daily benefit would you like your long-term care policy to provide?
[Select]
$50
$60
$70
$80
$90
$100
$110
$120
$130
$140
$150
$160
$170
$180
$190
$200
$210
$220
$230
$240
$250
$260
$270
$280
$290
$300
$310
$320
$330
$340
$350
$400
$450
$500
If you need long-term care, what's your desired waiting period before benefits begin?
[Select]
0-30 days
31-100 days
101-365 days
If you need long-term care, how long do you want to be eligible for benefits?
Lifetime
3 Years or More
12 to 35 months
Do you want your policy to include home-health care coverage?
[Select]
Yes
No
Do you want your policy to have the option to increase with inflation?
[Select]
Yes
No
Briefly describe any medical events in the past 10 years that have required hospitalization or surgery:
Would you like to include a spouse?
*
Yes
No
Spousal Information
Name
*
First
Last
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
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Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Email
Date of Birth:
MM slash DD slash YYYY
Gender:
Male
Female
Height:
Weight:
Spousal Long-Term Care Policy Information
Additional Information
Are you a tobacco user?
Yes
No
Are you a pilot?
Yes
No
How would you describe your current health?
Excellent
Very Good
Good
Poor
Any additional information we should consider while processing your request?
401(k) Plan Information
The most common employer-sponsored retirement plan is the 401(k) plan. The 401(k) plan is a defined contribution plan. It allows employees to make pre-tax contributions, and the funds contributed plus any earnings accumulate tax deferred.
When would you plan on implementing your new 401(k) plan?
[Select]
During the next month
Within three months
Before the end of the year
How many employees would be eligible for the 401(k) plan?
What percentage of eligible employees would you expect to participate?
Investment Options
What types of investment vehicles would you like to offer eligible employees?
Mutual Funds
Self-Directed Brokerage Account
Need more information to decide
Do you plan on matching any portion of the employee contribution?
Yes
No
Additional Information
Information Request
In our experience, we have found that there are several roadblocks — lack of goals, inappropriate investments, and procrastination — that keep most people from achieving financial success. Your ability to pursue your financial goals may depend on how well you are able to steer clear of these roadblocks.
Topic(s) of Interest
Risk Management
Cash Management
Investment Planning
Retirement Planning
Estate Conservation
Describe your specifci topic(s) of interest:
Any additional information to consider as we process your request?
Comments
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