1.  Your surviving spouse’s annual living expenses:

Add up expected expenses of all kinds…or, take current annual income

after income taxes and multiply by a percentage, perhaps 67% to 75%,

to reflect reduced expenses after your death.  (You may want to allow for

inflation currently 2% to 3% per year.)                                                        $______________


2.      Your survivor’s annual income:

Add expected income after taxes from all sources, such as pension,

retirement plans, annuities, Social Security, investments, a job                        $______________


3.      Your survivor’s annual income need:

If line 1 exceeds line 2, subtract line 2.  (If line 2 exceeds line 1, enter

zero.)                                                                                                                    $______________


4.      Your survivor’s lifetime income need:

Multiply any annual need by the remaining number of years of your

survivor’s life expectancy…at least to age 85, if he or she is in good

health.  Allow for loss of income when an employed survivor stops

working.                                                                                                                $______________


5.      Your own final expenses: 

Add estimated expenses stemming from your death, such as funeral and

burial costs, estate taxes and settlement costs, medical bills, and debts,

such as a mortgage, that you want to have paid.                                                  $______________


6.  Funds for additional concerns:

These may include cash for emergencies (about $15,000), completing

children’s or grand children’s education and at least a year’s nursing

home care for your spouse.                                                                                  $______________


7.  Your survivor’s estimated protection need:

Add lines 4, 5, and 6.                                                                                            $______________


8.  Your survivor’s existing protection:

This is mainly all existing insurance on your life.  You may include the

value of assets, such as real estate or collectibles, that could be sold to

produce income not reflected in Step 2.                                                      $______________


9.      Additional need for insurance on your life:

If line 7 exceeds line 8, subtract line 8.  If line 8 exceeds line 7, based

upon the information you have provided, your protection is probably

adequate.                                                                                                             $_______________


183597 HO