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

ICC22 FPDA-01

Standard

 

22 FPDA-01

California

North Dakota

South Dakota

 

22 FPDA-01 FL

Florida

ICC22 SPDA-01

Standard

 

22 SPDA-01

California

North Dakota

South Dakota

 

22 SPDA-01 FL

Florida

AM

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

1 Policy name may vary by state
2 Guaranteed Period: The period of time during which premiums are guaranteed to remain level
3 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.