Illinois Administrative Code
Title 50 - INSURANCE
Part 917 - LIFE INSURANCE AND ANNUITY REPLACEMENT
Exhibit B - Notice Regarding Proposed Replacement of Life Insurance or Annuity
Universal Citation: 50 IL Admin Code ยง B
Current through Register Vol. 48, No. 12, March 22, 2024
(Name of Existing Insurer)
(Address)
(City, State, Zip Code )
(Salutation)
You are herewith given notice that we are in receipt of application(s) for life insurance or annuity(ies) for an individual presently insured with your company.
Identification
Name of Insured |
_____________________ |
|
Address |
_____________________ |
|
_____________________ |
||
Contract Number |
_____________________ |
_____________________ |
" " |
_____________________ |
_____________________ |
" " |
_____________________ |
_____________________ |
" " |
_____________________ |
_____________________ |
This notice is given pursuant to 50 Ill. Adm. Code 917.70(c)
____________________________ |
____________________________ |
(Insurance Producer's Signature) |
(Closure) |
Disclaimer: These regulations may not be the most recent version. Illinois may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.