For Informational Purposes. Authors: Deborah Fisher, Joanne Disposition Date: 01/23/2012
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- Peregrine Sanders
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1 TOI: L04I - Term Sub-TOI: L04I.103 Renewable - Single Life - Filing at a Glance Company: Household Life Insurance Company TOI: L04I - Term Sub-TOI: L04I.103 Renewable - Single Life - Filing Type: Form Implementation Date Requested: State Filing Description: General Information SERFF Tr Num: HHRN State: Arkansas SERFF : Closed-Accepted State Tr Num: For Informational Purposes Co Tr Num: State : Filed-Closed Reviewer(s): Linda Bird Authors: Deborah Fisher, Joanne Disposition 01/23/2012 Schaffeld Date Submitted: 01/17/2012 Disposition : Accepted For Informational Purposes Implementation Project Name: Life Notification Letter of Filing in Domicile: Pending Project Number: Date Approved in Domicile: Requested Filing Mode: Informational Domicile Nationwide Informational Filing Explanation for Combination/Other: Market Type: Individual Submission Type: New Submission Individual Market Type: Overall Rate Impact: Filing Changed: 01/23/2012 State Changed: 01/23/2012 Deemer Created By: Deborah Fisher Submitted By: Deborah Fisher Corresponding Filing Tracking Number: Filing Description: RE: Informational Filing Product Sale Termination Term Life Insurance Policy HLI SERFF Tracking # FRCS NAIC # 93777, FEIN #
2 TOI: L04I - Term Sub-TOI: L04I.103 Renewable - Single Life - Dear Commissioner: I am writing on behalf of Household Life Insurance Company ("HLIC") to notify the Department, for informational purposes, that effective January 9, 2012, HLIC stopped selling the Term Life policy approved via the above SERFF tracking number. Please note for your records that HLIC does not wish to withdraw its approval of this Term Life policy form, and that it will continue to service the existing book of Term Life customers in accordance with the policy. If you have any questions or require additional information, please do not hesitate to contact me at or Joanne.m.schaffeld@us.hsbc.com. Company and Contact Filing Contact Information Joanne Schaffeld, VP Policy Forms & joanne.m.schaffeld@us.hsbc.com Regulatoy Review 545 Washington Blvd [Phone] 11th Floor Jersey City, NJ Filing Company Information Household Life Insurance Company CoCode: State of Domicile: Michigan 500 Woodward Ave. Group Code: 352 Company Type: Suite 4000 Group Name: State ID Number: Detroit, MI FEIN Number: (800) ext. [Phone] Filing Fees Fee Required? Retaliatory? Fee Explanation: Per Company: No No No COMPANY AMOUNT DATE PROCESSED TRANSACTION # Household Life Insurance Company $ /17/2012
3 TOI: L04I - Term Sub-TOI: L04I.103 Renewable - Single Life - Correspondence Summary Dispositions Created By Created On Date Submitted Accepted For Linda Bird 01/23/ /23/2012 Informational Purposes
4 TOI: L04I - Term Sub-TOI: L04I.103 Renewable - Single Life - Disposition Disposition 01/23/2012 Implementation : Accepted For Informational Purposes Comment: Rate data does NOT apply to filing.
5 TOI: L04I - Term Sub-TOI: L04I.103 Renewable - Single Life - Schedule Schedule Item Schedule Item Public Access Supporting Document Flesch Certification No Supporting Document Application No Supporting Document Life & Annuity - Acturial Memo No Supporting Document Informational Letter No
6 TOI: L04I - Term Sub-TOI: L04I.103 Renewable - Single Life - Supporting Document Schedules Bypassed - Item: Bypass Reason: Flesch Certification Not applicable Bypassed - Item: Bypass Reason: Application Not applicable Bypassed - Item: Bypass Reason: Life & Annuity - Acturial Memo Not applicable Satisfied - Item: Informational Letter Informational letter attached. Attachment: HLIC Letter.pdf
7 January 16, 2012 Arkansas Insurance Department Life & Health Division, 1200 W 3rd St Little Rock, AR RE: Informational Filing Product sale termination Term Life Insurance Policy HLI SERFF Tracking # FRCS NAIC # 93777, FEIN # Dear Commissioner: I am writing on behalf of Household Life Insurance Company ("HLIC") to notify the Department, for informational purposes, that effective January 9, 2012, HLIC stopped selling the Term Life policy approved via the above SERFF tracking number. Please note for your records that HLIC does not wish to withdraw its approval of this Term Life policy form, and that it will continue to service the existing book of Term Life customers in accordance with the policy. If you have any questions or require additional information, please do not hesitate to contact me at or Joanne.m.schaffeld@us.hsbc.com. Thank you. Sincerely, Joanne Schaffeld VP Product Filings and Regulatory Review HSBC Insurance Services 545 Washington Blvd., 11th Floor, Jersey City, NJ (800) Household Life Insurance Company
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SERFF Tracking Number: PRMD-126265843 State: Arkansas Filing Company: Primerica Life Insurance Company State Tracking Number: 43419 Company Tracking Number: PLA-740 TOI: L04I Individual Life - Term Sub-TOI:
More informationTOI: LTC06 Long Term Care - Other Sub-TOI: LTC06.000 Long Term Care - Other
/ Filing at a Glance Company: John Hancock Life Insurance Company (U.S.A.) SERFF Tr Num: MNLE-126559929 State: Wisconsin TOI: LTC06 Long Term Care - Other SERFF Status: Closed-Filed State Tr Num: Sub-TOI:
More informationProject Number: TC40584(0708) Date Approved in Domicile: 04/24/2000
LTC Riders Flyer/(0708) Filing at a Glance Company: National Life Insurance Company Individual Long Term Care SERFF Tr Num: NALF-125810842 State: ArkansasLH Rider LTC05I Individual Long Term Care - SERFF
More informationTOI: VS01 Viatical Settlements Sub-TOI: VS01.000 Viatical Settlements Product Name:
Project Name/Number: Broker report revised/020 Filing at a Glance Company: Crump Life Insurance Services, Inc SERFF Tr Num: MI-127848599 State: Arkansas TOI: VS01 Viatical Settlements SERFF Status: Closed-Filed-
More informationSERFF Tracking #: AMGN-130338720 State Tracking #: Company Tracking #: 109249-DC-2015, ET AL
SERFF Tracking #: AMGN-130338720 State Tracking #: Company Tracking #: 109249-DC-2015, ET AL State: District of Columbia Filing Company: American General Life Insurance Company TOI/Sub-TOI: L07I Individual
More information05.1003 Commercial Package Portion Only
TRIA Update/ Filing at a Glance Company: Florists' Mutual Insurance Company SERFF Tr Num: FLWR-125579209 State: Arkansas SERFF Status: Closed State Tr Num: EFT $50 Co Tr Num: State Status: Fees verified
More informationSERFF Tracking Number: CNAC-125272315 State: Arkansas First Filing Company: Continental Casualty Company,... State Tracking Number: AR-PC-07-025885
SERFF Tracking Number: CNAC-125272315 State: Arkansas First Filing Company: Continental Casualty Company,... State Tracking Number: AR-PC-07-025885 Company Tracking Number: 07-F2181-UMB TOI: 17.0 Other
More informationThe requested effective date is 7/03/08. However, AAIC prefers an earlier effective date coincident with the date of your
Filing at a Glance Company: American Alternative Insurance Corp Pet Health Policies, SERFF Tr Num: FRCS-125722242 State: Arkansas Supplemental Forms and Rating TOI: 09.0 Inland Marine SERFF Status: Closed
More informationTOI: L08 Life - Other Sub-TOI: L08.000 Life - Other
SERFF Tracking Number: AMGN-126032695 State: Arkansas Filing Company: AIG Life Insurance Company State Tracking Number: 41647 Company Tracking Number: LIFE U/W QUESTIONNAIRES TOI: L08 Life - Other Sub-TOI:
More informationSERFF Tracking #: DDPA-129574186 State Tracking #: Company Tracking #: DIC, O15HCR GRP PPO DC, RATES
SERFF Tracking #: DDPA-129574186 State Tracking #: Company Tracking #: DIC, O15HCR GRP PPO DC, RATES State: District of Columbia Filing Company: Dentegra Insurance Company TOI/Sub-TOI: Product Name: H10G
More informationClosed Sub-TOI: L08.000 Life - Other Co Tr Num: BANRD-01 State Status: Approved-Closed
Project Name/Number: / 01 Filing at a Glance Company: Banner Life Insurance Company SERFF Tr Num: FNBL-126416557 State: Arkansas TOI: L08 Life - Other SERFF Status: Closed-Approved- State Tr Num: 44441
More informationTOI: 11.2 Med Mal-Claims Made Only Sub-TOI: 11.2003 Chiropractic
Project Name/Number: / Filing at a Glance Company: Philadelphia Indemnity Insurance Company SERFF Tr Num: PHLX- State: Wisconsin G128466269 TOI: 11.2 Med Mal-Claims Made Only SERFF Status: Closed-Filed
More informationA05I.000 Annuities - Immediate Non-variable Variable Guaranteed Retirement Income Plan (GRIP) - SPIA. Status of Filing in Domicile: Pending
SERFF Tracking Number: UNSA-127060294 State: Arkansas Filing Company: USAA Life Insurance Company State Tracking Number: 48267 Company Tracking Number: AR1113770 TOI: A05I Individual Annuities- Immediate
More informationSERFF Tracking Number: PPIC-126954632 State: District of Columbia Filing Company: Preferred Professional Insurance Company State Tracking Number:
Project Name/Number: Rule Manual Revision/ Filing at a Glance Company: Preferred Professional Insurance Company Physicians & Surgeons SERFF Tr Num: PPIC-126954632 State: District of Columbia Professional
More informationSERFF Tracking Number: LMUG-125263431 State: Arkansas First Filing Company: Liberty Insurance Corporation,... State Tracking Number: AR-PC-07-025842
LC Tobacco Exclusion - LC 21 54 08 07/ Filing at a Glance Companies: Liberty Insurance Corporation, Liberty Mutual Fire Insurance Company, LM Insurance Corporation, Liberty Mutual Insurance Company, The
More informationSERFF Tracking Number: PHAR-125833359 State: District of Columbia Filing Company: Pharmacists Mutual Insurance Company State Tracking Number:
SERFF Tracking Number: PHAR-125833359 State: District of Columbia Filing Company: Pharmacists Mutual Insurance Company State Tracking Number: Company Tracking Number: DC-PHL/CSP-01-09-R TOI: 11.2 Medical
More informationSERFF Tracking #: ZURC-128805817 State Tracking #: Company Tracking #: CW OL 35534
Product Name: Primary Health Care Liability Policy Endorsements Filing at a Glance Company: Product Name: State: TOI: Sub-TOI: Filing Type: Zurich American Insurance Company Primary Health Care Liability
More informationSERFF Tracking #: MCHU-128772569 State Tracking #: Company Tracking #: ARI-1043(10-12)
SERFF Tracking #: MCHU-128772569 State Tracking #: Company Tracking #: ARI-1043(10-12) State: Arkansas Filing Company: Fidelity & Guaranty Life Insurance Company TOI/Sub-TOI: A02I Individual Annuities-
More informationState Status: Approved-Closed Premium - Single Life. Authors: Albert Dubreuil, Tricia St. Disposition Date: 07/06/2010
SERFF Tracking Number: METD-126668137 State: Arkansas Filing Company: MetLife Investors USA Insurance Company State Tracking Number: 46109 Company Tracking Number: TOI: L07I Individual Life - Whole Sub-TOI:
More informationTOI: 09.0 Inland Marine Sub-TOI: 09.0005 Other Commercial Inland Marine Product Name: Transportation Rate Filing 2007
Project Name/Number: / Filing at a Glance Company: Maxum Casualty Insurance Company SERFF Tr Num: MXCC-125344646 State: Arkansas TOI: 09.0 Inland Marine SERFF Status: Closed State Tr Num: Sub-TOI: 09.0005
More informationA02.1I.002 Flexible Premium Variable and Variable
Sub- / Filing at a Glance Company: Horace Mann Life Insurance Company SERFF Tr Num: HRCN-125425359 State: Wisconsin SERFF Status: Closed State Tr Num: Sub- Co Tr Num: State Status: Filing Type: Form Co
More informationSERFF Tracking #: MRTN-130013987 State Tracking #: Company Tracking #: CL DC008230200009
Product Name: Cover Pro Miscellaneous Professional Liability Short Renewal Application Filing at a Glance Company: Product Name: State: TOI: Sub-TOI: Filing Type: Philadelphia Indemnity Insurance Company
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