Life Insurance


Life Policy Form Numbers

Level Term

Version Product Form Number
Guaranteed policies**
Standard   ICC15 FGCLT01-01
Arizona   ICC15 FGCLT01-01
Arkansas   ICC15 FGCLT01-01
California   FGCLT03-01
Connecticut   FGCLT03-01
Delaware   FGCLT03-01
District of Columbia   FGCLT03-01
Florida   FGCLT03-01
Montana   FGCLT03-01
New York 10 Year Plan FGCLT10-04 NY
  15 Year Plan FGCLT15-04 NY
  20 Year Plan FGCLT20-04 NY
  25 Year Plan FGCLT25-04 NY
  30 Year Plan FGCLT30-04 NY
North Dakota   FGCLT03-01
South Dakota   FGCLT03-01

 

Annual Renewable Term

Version Product Name Form Number
Standard   ICC09 ART01-01
Alabama   ART01-01 (09/2009)
Arizona   ART01-01 (09/2009)
Arkansas   ART01-01 (09/2009)
California   ART01-01 (09/2009)
Connecticut   ART01-01 (09/2009)
Delaware   ART01-01 (09/2009)
District of Columbia   ART01-01 (09/2009)
Florida   ART01-01 (09/2009)
Illinois   ART01-01 (09/2009)
Montana   ART01-01 (09/2009)
Nevada   ART01-01 (09/2009)
New Jersey   ART01-01 (09/2009)
New York   ART01-01 (09/2009)
North Dakota   ART01-01 (09/2009)
Oregon   ART01-01 (09/2009)
South Dakota   ART01-01 (09/2009)

Simplified Whole Life

Version Product Name Form Number
Standard   ICC11 SIWL01-01
Arizona   SIWL01-02
Arkansas   SIWL01-02
District of Columbia   SIWL01-02
Florida   SIWL01-02
South Dakota   SIWL01-02

Whole Life

Version Product Name Form Number
Standard   WL2006-01
New York   WL2006-01 NY
Oklahoma   WL2006-01 OK

Flexible Premium Deferred Annuity - IRA

Version Product Name Form Number
Standard   FPDA-IRA01-01

Flexible Premium Deferred Annuity - Roth IRA

Version Product Name Form Number
Standard   FPDA-RothIRA01-01

Flexible Premium Deferred Annuity - Non-Qualified

Version Product Name Form Number
Standard   FPDA-NQA01-01

Single Premium Deferred Annuity - IRA

Version Product Name Form Number
Standard   SPDA-IRA01-01

Single Premium Deferred Annuity - Roth IRA

Version Product Name Form Number
Standard   SPDA-ROTHIRA01-01

Single Premium Deferred Annuity - Non-Qualified

Version Product Name Form Number
Standard   SPDA-NQA01-01

*Policy name may vary by state

**Guaranteed Period: The period of time during which premiums are guaranteed to remain level.

***Term Period: The period of time during which premiums are intended to remain level.