Skip to main content

Life Policy Form Numbers

Guaranteed policies2

ICC15 FGCLT01-01 Form

Standard
 

FGCLT03-01 Form

California

Florida

Montana

South Dakota
 

FGCLT10-04 NY Form

New York 10 Year Plan
 

FGCLT15-04 NY Form

New York 15 Year Plan
 

FGCLT20-04 NY Form

New York 20 Year Plan
 

FGCLT25-04 NY Form

New York 25 Year Plan
 

FGCLT30-04 NY Form

New York 30 Year Plan

ICC19 WL2019-01

Standard
 

WL2019-01 CA

California
 

WL2019-01 FL

Florida
 

WL2019-01 NY

New York
 

WL2019-01 SD

South Dakota

ICC21 MYGA - 01

Standard
 

21 MYGA - 01

California
Florida
North Dakota
South Dakota

SPIA-01-01

SPIA-IRA-01-01

ICC22 FPDA-01

Standard
 

22 FPDA-01

Florida

California

North Dakota

South Dakota

“AM Best has awarded Amica Life its second highest rating, A+ (Superior).”3

Policy name may vary by state
2 Guaranteed Period: The period of time during which premiums are guaranteed to remain level
A+ (Superior) is the second highest of 13 company ratings. Ratings range from A++ (Superior) to D (Poor). AM Best's ratings measure an insurer’s financial strength.

ALIC01624 May-26