Download An Application Now

DOWNLOAD APPLICATION
 

Fill Out The Application

Download an application here or we’ll mail one to you.
There’s absolutely no-cost and no-obligation to get started.

Fifth Season Will Quickly Review Your Application

You don’t have to go through the process of getting your records on your own: our team will coordinate with your life insurers and doctors to get the information we need (this typically takes about two weeks). After obtaining all the necessary records, we’ll quickly and confidentially review them and determine your eligibility.

We promise to respect your privacy.
We will not share or sell your information.

Our numbers speak for themselves

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Financial Assistance Provided

We have provided over $75 million in financial assistance to individuals with an advanced-stage illness.

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Happy Clients

Hundreds of families have gained peace of mind, enabling them to focus on a better quality of life and spending time with loved ones.

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Funds Remain

In more than 90% of our cases, funds remain to pass on to your beneficiaries.

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Zero Restrictions

The money we advance is yours – there are no restrictions on how you choose to use it. Use the funds for living or for giving to your loved ones.

Watch a short video to learn how the FLAG Program can work for you:

 

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