If you have purchased a ROK Life gift PIN, select REDEEM CODE. Otherwise, continue your purchase with a credit card.

ENTER PIN CODE


PROFILE

  • Invalid characters.
  • Last Name is required.
  • DOB Required

CREATE YOUR ACCOUNT

  • Confirm Password is required.
  • Password and Confirm Password must match.

BENEFICIARY

A beneficiary designation describes who should receive the money from your Accidental Death policy upon your death. The policy holder cannot be listed as the beneficiary.
  • Invalid characters.
  • Last Name is required.
  • Please enter a valid email address.
  • Email is required.
  • State is Required
  • Invalid characters.
  • Zipcode must have 5 digits
  • Zip Code is required.
Accept Terms & Conditions and are at least 18 years of age**

By clicking the " I Agree / Confirm " button I acknowledge that I am agreeing to ROK Mobile's Terms of Use and Privacy Policy and designate my beneficiary of record above this day and time. The beneficiary I have elected will remain in affect unless withdrawn, changed or my insurance coverage terminates. To review terms and conditions please click the link below. Must be 18 years or older to qualify for benefit.

  • You must Agree to proceed.
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Failure to properly provide valid and accurate information may result in failure to properly register you for these benefits and may result in lack of coverage.

ROK LIFE PLAN

SELECT YOUR PLAN


PROFILE

  • Invalid characters.
  • Last Name is required.
  • DOB Required

CREATE YOUR ACCOUNT

  • Password and Confirm Password must match.

PAYMENT INFO

  • Expiry date Required
  • Zipcode must have 5 digits
  • Zip Code is required.

BENEFICIARY

A beneficiary designation describes who should receive the money from your Accidental Death policy upon your death. The policy holder cannot be listed as the beneficiary.
  • Invalid characters.
  • Last Name is required.
  • Please enter a valid email address.
  • Email is required.
  • State is Required
  • Invalid characters.
  • Zipcode must have 5 digits
  • Zip Code is required.

PURCHASE DETAILS

Accept Terms & Conditions and are at least 18 years of age**

By clicking the " I Agree / Confirm " button I acknowledge that I am agreeing to ROK Mobile's Terms of Use and Privacy Policy and designate my beneficiary of record above this day and time. The beneficiary I have elected will remain in affect unless withdrawn, changed or my insurance coverage terminates. To review terms and conditions please click the link below. Must be 18 years or older to qualify for benefit.

  • You must Agree to proceed.
{{message}}
Failure to properly provide valid and accurate information may result in failure to properly register you for these benefits and may result in lack of coverage.