TOI: L04I Individual Life - Term Sub-TOI: L04I.213 Specified Age or Duration - Fixed/Indeterminate Premium - Single Life
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1 Project Name/Number: 10 Term Rider/LI10 Filing at a Glance Company: Reliable Life Insurance Company TOI: L04I Individual Life - Term Sub-TOI: L04I.213 Specified Age or Duration - Filing Type: Form Implementation Date Requested: 03/01/2011 State Filing Description: General Information SERFF Tr Num: UUIN State: Arkansas SERFF Status: Closed-Approved- State Tr Num: Closed Co Tr Num: State Status: Approved-Closed Reviewer(s): Linda Bird Author: Audrey Fields Disposition Date: 11/30/2010 Date Submitted: 11/23/2010 Disposition Status: Approved- Closed Implementation Date: Project Name: 10 Term Rider Status of Filing in Domicile: Pending Project Number: LI10 Date Approved in Domicile: Requested Filing Mode: Review & Approval Domicile Status Comments: Explanation for Combination/Other: Market Type: Individual Submission Type: Resubmission Previous Filing Number: LI10 Group Market Size: Overall Rate Impact: Group Market Type: Filing Status Changed: 11/30/2010 Explanation for Other Group Market Type: State Status Changed: 11/30/2010 Deemer Date: Created By: Audrey Fields Submitted By: Audrey Fields Corresponding Filing Tracking Number: Filing Description: Submitted for your approval is a. It will be available for a ten year term, issued to policyholders between the ages of 18 and 65. This rider can be added to any previously approved whole life policy that has a premium-paying period equaling or exceeding the length of the term of the rider, except for our guaranteed issue products. We would like to begin selling this product at the end of the first quarter of 2011 through our captive agents utilizing the Home Service marketing system.
2 Project Name/Number: 10 Term Rider/LI10 This form was previously approved by your office on 8/11/2010 under SERFF Tracking Number UUIN We have never marketed this product as some changes to the form were needed. The changes to the previously approved LI10 are as follows: 1. On page R-1, in the General paragraph, we have inserted the words and definitions. 2. On page R-1, in the CONVERSION paragraph, we have deleted following the Insured s 75th birthday. 3. On page R-1, in the CONVERSION paragraph, we have added the sentence If premiums are being waived under the contract at the time of conversion, the premiums under the converted policy will not be waived. 4. On page R-2, we have deleted the first paragraph which was part of the CONVERSION provision. 5. We have added an INCONTESTABILITY provision to page R On page R-2, in the TERMINATION paragraph, we have deleted the word or from number 3 and added it after number 4. We have renumbered item 4 as number 5 and inserted the date of conversion of this rider to a permanent plan of insurance or as number We have corrected the first sentence in the RESERVE BASIS paragraph, to show the valuation method as Commissioners Reserve. We have applied the Flesch Reading Ease Test to this form and achieved a score of 54. Since we have never marketed this form, we would like to use the same form number, LI10 for this revised rider. Company and Contact Filing Contact Information Audrey Fields, Compliance Specialist afields@unitrin.com Lackland Road [Phone] St. Louis, MO [FAX] Filing Company Information Reliable Life Insurance Company CoCode: State of Domicile: Missouri Lackland Rd. Group Code: 215 Company Type: Life & Accident St. Louis, MO Group Name: Unitrin, Inc. State ID Number: (314) ext. [Phone] FEIN Number: Filing Fees Fee Required? Yes Fee Amount: $50.00
3 Project Name/Number: Retaliatory? Fee Explanation: Per Company: 10 Term Rider/LI10 Yes No COMPANY AMOUNT DATE PROCESSED TRANSACTION # Reliable Life Insurance Company $ /23/
4 Project Name/Number: 10 Term Rider/LI10 Correspondence Summary Dispositions Status Created By Created On Date Submitted Approved- Closed Linda Bird 11/30/ /30/2010
5 Project Name/Number: Disposition 10 Term Rider/LI10 Disposition Date: 11/30/2010 Implementation Date: Status: Approved-Closed Comment: Rate data does NOT apply to filing.
6 Project Name/Number: 10 Term Rider/LI10 Schedule Schedule Item Schedule Item Status Public Access Supporting Document Flesch Certification Yes Supporting Document Application No Supporting Document Life & Annuity - Acturial Memo No Form Yes
7 Project Name/Number: Form Schedule 10 Term Rider/LI10 Lead Form Number: LI10 Schedule Item Status Form Number Form Type Form Name Action Action Specific Data LI10 Policy/Cont Level Term Revised Replaced Form #: ract/fratern Insurance Rider LI10 al Previous Filing #: Certificate: LI10 Amendmen t, Insert Page, Endorseme nt or Rider Readability Attachment LI10.pdf
8 Home Office: St Louis. Missouri LEVELTERMINSURANCERIDER GENERAL This rider provideslevelterm life Insurance.It is part of the policy to which it is attached.it is subjectto all the terms and definationsof the policy exceptas modifiedherein.this rider has no cashor loanvalue. EFFECTIVEDATE This rider will be effectiveon the date of issueof the policy. If this rider is issuedafterthe policy, the effectivedate of this rider will be endorsedon the policy. PREMIUMS The amountof premiumfor this rider is shown on page3 of the policy, or as later endorsedon the policy.the premiumis payableuntil the terminationof this rider. BENEFIT We will pay to the beneficiary,upon receiptof due proof of the deathof the Insured,the benefitamount shownon page3 of the policy,or as later endorsedon the policy. This benefitwill be paidif the deathof the Insuredoccurs: 1. while this riderand the policy are in forceon a premiumpayingbasis; 2. while the Insuredis coveredby this rider;and 3. beforethe terminationof this rider. CONVERSION Whilethis rider is in force it may be convertedto a new policy,subjectto the following conditions: 1. No evidenceof insurabilityis required; 2. The new policy may be any permanentplan of insuranceofferedby us at the date of issueof the new policy; 3. The amount of insuranceunder the new policy will not be greaterthan the term insurancebenefitof this rider unlessproof of insurabilityis submittedto us and approvedby us; 4. The dateof issueof the new policywill be the sameas the dateof conversionand will takeeffectonly if the Insured is living on the date of issue. We will basethe premium rate on the Insured'sage, premiumclass,and ratesin useon the dateof conversion; 5. The new policy may includesupplementaryridersonly with our consent. The conversionwill be madeeffectiveas of a premiumdue date. If premiumsare beingwaivedunderthe contractat the time of conversion.the premiumsunderthe convertedpolicywill not be waived. li10 R-1
9 INCONTESTABILITY We cannotcontestthis rider after it has beenin force during the lifetimeof the Insuredfor two yearsfrom its Date of Issue.This provisionwill not applyto the non-paymentof premiums. SUICIDE If the Insuredcommits suicidewithin two yearsof the effectivedate of this rider, the amount we will pay will be limited to the premiumspaidfor this rider. REINSTATEMENT In additionto the reinstatementrequirementsof the policy, reinstatementof this rider is subject to evidenceof the Insured's insurabilitysatisfactoryto us and paymentof all unpaidpremiumswith interest compoundedannuallyat 5% to the dateof reinstatement. TERMINATION Coverageunderthis rider terminateson the earliestof: 1. the end of the graceperiod of the first unpaid premiumfor the policy or rider, whetheror not the policy is continuedundera Non-ForfeitureOption; 2. the expirationdateof this rider as shownon page3 of the policy,or as later endorsedon the policy; 3. the termination,conversion,or maturityof the policyto which the rider is attached; 4. the dateof conversionof this riderto a permanentplanof insurance;or 5. the first premium due date after we receivea signed,written requestto cancelthis rider. We may requirethe policy and rider be returnedto us for endorsement. We will not be liablefor any benefitshereunderin connectionwith a loss that occurs after this rider terminates.any premiumfor this rider receivedafterthe terminationdatewill be refunded. RESERVEBASIS Reservesfor this rider arecalculatedusingthe CommissionersReserveValuationmethod.A detailedstatementof the method of computingreserveshas beenfiled with the state in which this rider is delivered.reservesfor this rider equal or exceedthe minimum values requiredby that state. Reservesare based on the assumptionsthat death benefitsare paid at the momentof deathand net premiumsarepaidcontinuouslyover the premium-payingperiod. Signedfor The ReliableLife InsuranceCompanyat St. Louis, Missouri,on the Dateof Issue. Secretary President Ll10 R-2
10 Project Name/Number: 10 Term Rider/LI10 Supporting Document Schedules Satisfied - Item: Flesch Certification Comments: Attachments: Certificate of Readability.pdf Consumer Notice.pdf Guaranty Assn. Act.pdf R&R 19.pdf Item Status: Status Date:
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/ Filing at a Glance Company: Western-Southern Life Assurance Company Single Premium Whole Life SERFF Tr Num: WSST-125087774 State: Wisconsin 2006/Legacy Master/Schedule Page Informational/WSLAC/CH TOI:
More informationThis advertising material is new and does not replace any advertisements filed by Genworth Life Insurance Company.
SERFF Tracking Number: GEFA-125987509 State: Wisconsin Filing Company: Genworth Life Insurance Company State Tracking Number: Company Tracking Number: TOI: LTC03I Individual Long Term Care Sub-TOI: LTC03I.001
More informationSERFF Tracking #: AESP-128603015 State Tracking #: Company Tracking #: ICC 12 OL 3004 0812
Product Name: TransACE Long Term Care Rider Consumer Flyer Filing at a Glance Company: Product Name: State: TOI: Sub-TOI: Filing Type: Transamerica Life Insurance Company TransACE Long Term Care Rider
More informationSERFF Tracking #: AMMH-130365716 State Tracking #: Company Tracking #: 20151208-05
Product Name: Filing at a Glance Company: Product Name: State: TOI: Sub-TOI: Filing Type: American Modern Home Insurance Company District of Columbia 09.0 Inland Marine 09.0004 Pet Insurance Plans Rule
More informationFiling at a Glance. General Information
InnKeepers Liability Coverage Endorsement (Bailment Coverage) 64002 (6/08)/ Filing at a Glance Companies: American Home Assurance Company, American International South Insurance Company, AIG Casualty Company,
More informationSERFF Tracking Number: ULCC-125284734 State: Arkansas Filing Company: Ulico Casualty Company State Tracking Number: AR-PC-07-026039
SERFF Tracking Number: ULCC-125284734 State: Arkansas Filing Company: Ulico Casualty Company State Tracking Number: AR-PC-07-026039 Company Tracking Number: UCC-2007-AR-WC-03 TOI: 16.0 Workers Compensation
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 informationClosed Sub-TOI: L04I.500 Other Co Tr Num: PLA-740 State Status: Approved-Closed
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 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 informationDate Submitted: 08/04/2008 Disposition Status: Non-Adoption Effective Date Requested (New): 10/01/2008 Effective Date (New): 10/01/2008
Filing at a Glance Companies: Athena Assurance Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, St. Paul Protective Insurance
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Filing at a Glance Company: Marquette National Life Insurance Company SERFF Tr Num: UNAM-126105722 State: ArkansasLH TOI: MS06 Medicare Supplement - Other SERFF Status: Closed State Tr Num: 42074 Sub-TOI:
More informationTOI: 20.0 Commercial Auto SERFF Status: Closed State Tr Num: #? $50 Co Tr Num: AR-CA-010709-BHHC- State Status: Fees verified
Filing at a Glance Companies: Cypress Insurance Company, Cornhusker Casualty Company SERFF Tr Num: CORN-125933535 State: Arkansas TOI: 20.0 SERFF Status: Closed State Tr Num: #? $50 Sub-TOI: 20.0002 Garage
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 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 informationFiling at a Glance. Metropolitan Life Insurance Company GCERT2000 Series - Business Overhead Expense
SERFF Tracking #: META-128701397 State Tracking #: Company Tracking #: T12-135 - State: Arkansas Filing Company: Metropolitan Life Insurance Company TOI/Sub-TOI: H11G Group Health - Disability Income/H11G.001
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Filing at a Glance Company: Florists' Mutual Insurance Company Product Name: AR WC Item U-1397 Adoption SERFF Tr Num: FLWR-125609090 State: Arkansas 7-1-08 TOI: 16.0 Workers Compensation SERFF Status:
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 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 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 informationTOI: 05.0 CMP Liability and Non-Liability Sub-TOI: 05.0002 Businessowners
Submission of / Filing at a Glance Company: United States Liability Insurance Company SERFF Tr Num: WESA-126058265 State: Wisconsin TOI: 05.0 CMP Liability and Non-Liability SERFF Status: Closed State
More informationSERFF Tracking #: SMPJ-129807620 State Tracking #: Company Tracking #: 14-IR-WC-9018R
Product Name: Employers Liability WC Filing at a Glance Company: Product Name: State: TOI: Sub-TOI: Filing Type: Sompo Japan Insurance Company of America Employers Liability WC District of Columbia 16.0
More informationSERFF Tracking #: ICCI-129123690 State Tracking #: Company Tracking #: B-BTP ACC-13-P-R
Product Name: Pan-Am Blanket Group Accident Policy B-BTP-ACC-13-P Filing at a Glance Company: Pan-American Life Insurance Company Product Name: Pan-Am Blanket Group Accident Policy B-BTP-ACC-13-P State:
More informationCompany Tracking Number: P#08254 TOI: 16.0 Workers Compensation Sub-TOI: 16.0002 Employers Liability WC
SERFF Tracking Number: CMPX-125952579 State: Arkansas Filing : Companion Property & Casualty Insurance State Tracking Number: EFT $50 Tracking Number: P#08254 TOI: 16.0 Workers Compensation Sub-TOI: 16.0002
More informationTOI: 16.0 Workers Compensation Sub-TOI: 16.0000 WC Sub-TOI Combinations
/ Filing at a Glance Company: FirstComp Insurance Company SERFF Tr Num: FICI-125830891 State: Arkansas TOI: 16.0 Workers Compensation SERFF Status: Closed State Tr Num: EFT $50 Sub-TOI: 16.0000 WC Sub-TOI
More informationOverall Rate Impact: Filing Status Changed: 10/28/2011 State Status Changed: 10/28/2011
SERFF Tracking Number: MGCC-127690341 State: Arkansas Filing Company: The Chesapeake Life Insurance Company State Tracking Number: 50048 Company Tracking Number: CWLG 9/11 TOI: L07I Individual Life - Whole
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 informationTOI: 16.0 Workers Compensation Sub-TOI: 16.0004 Standard WC
SERFF Tracking Number: QBCL-125829164 State: Arkansas First Filing Company: Southern Guaranty Insurance Company,... State Tracking Number: EFT $50 Company Tracking Number: 010109 11202S TOI: 16.0 Workers
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
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SERFF Tracking Number: ZURC-126193280 State: Wisconsin First Filing Company: American Zurich Insurance Company,... State Tracking Number: Company Tracking Number: CW-GL-28564 TOI: 17.1 Other Liability-Occ
More informationDebbie Kingsley, Alycia Sumbera, Melissa Sample, Kathleen Collins, Erik Blasko, Verlyn Colbert
Product Name: Age-In Prospecting DM Mailer - LOYAL Filing at a Glance Company: Product Name: State: Loyal American Life Insurance Company Age-In Prospecting DM Mailer - LOYAL District of Columbia 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 informationMichigan Review Pending
SERFF Tracking Number: MULF-127027120 State: Michigan Filing Company: John Hancock Life Insurance Company (USA) State Tracking Number: Company Tracking Number: 2010 INFORCE RATE INCREASE - JH CCII07 TOI:
More informationSERFF Tracking #: BFLI-128726934 State Tracking #: Company Tracking #: AR B 21092 TV3
Product Name: Medicare Supplement Television Commercials Filing at a Glance Company: Product Name: State: Bankers Fidelity Life Insurance Company Medicare Supplement Television Commercials Arkansas TOI:
More informationSERFF Tracking #: HART-129755512 State Tracking #: Company Tracking #: FN.09.076025.2015.01
SERFF Tracking #: HART-129755512 State Tracking #: Company Tracking #: FN.09.076025.2015.01 State: District of Columbia Filing Company: Hartford Casualty Insurance Company TOI/Sub-TOI: 17.2 Other Liability-Claims
More informationFiling at a Glance. General Information. Company and Contact
SERFF Tracking Number: USPH-6RKSLB602/00-00/00-00/00 State: Wisconsin Filing Company: American Family Mutual Insurance Company State Tracking Number: Company Tracking Number: TOI: MS06 Medicare Supplement
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