SERFF Tracking #: AESP State Tracking #: Company Tracking #: ICC 12 OL
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1 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 Consumer Flyer Arkansas LTC06 Long Term Care - Other LTC Long Term Care - Other Advertisement Date Submitted: 07/27/2012 SERFF Tr Num: SERFF Status: State Tr Num: State Status: AESP Closed-Approved FEES PAID Co Tr Num: ICC 12 OL Implementation Date Requested: Author(s): Reviewer(s): On Approval Joan King Disposition Date: 07/27/2012 Disposition Status: Implementation Date: State Filing Description: Donna Lambert (primary) Approved
2 Product Name: TransACE Long Term Care Rider Consumer Flyer General Information Project Name: Project Number: Requested Filing Mode: Review & Approval Explanation for Combination/Other: Submission Type: New Submission Status of Filing in Domicile: Authorized Date Approved in Domicile: Domicile Status Comments: Market Type: Individual Individual Market Type: Overall Rate Impact: Filing Status Changed: 07/27/2012 Deemer Date: Submitted By: Joan King Filing Description: State Status Changed: 07/27/2012 Created By: Joan King Corresponding Filing Tracking Number: This advertising flyer is intended for use with individuals who are interested in purchasing a Long Term Care Rider with their life insurance policy. Company and Contact Filing Contact Information Joan King, Compliance Assistant AEGON 570 Carillon Parkway St. Petersburg, FL Filing Company Information Transamerica Life Insurance Company 4333 Edgewood Road N.E. Admin Address: 570 Carillon Parkway St. Petersburg, FL Cedar Rapids, IA (727) ext. 2363[Phone] [email protected] [Phone] [FAX] CoCode: Group Code: 468 Group Name: TLI FEIN Number: State of Domicile: Iowa Company Type: Insurance State ID Number: Filing Fees Fee Required? Yes Fee Amount: $50.00 Retaliatory? No Fee Explanation: 1 x $50.00 = $50.00 Per Company: No Company Amount Date Processed Transaction # Transamerica Life Insurance Company $ /27/
3 Product Name: TransACE Long Term Care Rider Consumer Flyer Correspondence Summary Dispositions Status Created By Created On Date Submitted Approved Donna Lambert 07/27/ /27/2012
4 Product Name: TransACE Long Term Care Rider Consumer Flyer Disposition Disposition Date: 07/27/2012 Implementation Date: Status: Approved Comment: Rate data does NOT apply to filing. Schedule Schedule Item Schedule Item Status Public Access Supporting Document ICC 12 OL AR COVER LETTER AND Approved Yes STATEMENT OF VARIABILITY Form TransACE Long Term Care Rider Consumer Flyer Approved Yes
5 Product Name: TransACE Long Term Care Rider Consumer Flyer Form Schedule Lead Form Number: Item Schedule Item Form Form Form Action/ Readability No. Status Number Type Name Action Specific Data Score Attachments 1 Approved ICC 12 OL ADV TransACE Long Term Care Rider Initial: ICC 12 OL /27/ Consumer Flyer MATERIAL.pdf Form Type Legend: ADV Advertising AEF Application/Enrollment Form CER Certificate CERA Certificate Amendment, Insert Page, Endorsement or Rider DDP Data/Declaration Pages FND Funding Agreement (Annuity, Individual and Group) MTX Matrix NOC Notice of Coverage OTH Other OUT Outline of Coverage PJK Policy Jacket POL Policy/Contract/Fraternal Certificate POLA Policy/Contract/Fraternal Certificate: Amendment, SCH Schedule Pages Insert Page, Endorsement or Rider
6 Guarantees matter. So does flexibility. So does helping to protect yourself and the ones you love most. It s not often that you come across a product that lets you have all three. And who would have thought it would be a life insurance product? Yet, here it is. A TransACE universal life insurance policy from Transamerica Life Insurance Company gives you the ability to help protect yourself and your family s future with multiple options for built-in flexibility, including the new Long Term Care Rider. This is life insurance that helps you respond to the changes that life will throw your way. What does this mean to you? Helps protect your family. You re probably thinking of buying life insurance for one very simple reason you want to help protect the people you love the most. Buying a TransACE life insurance policy helps make sure that your loved ones will receive a guaranteed death benefit. 1 Not only are you putting protection in place, you are also helping to ensure that the dreams you have for their future can come true. Helps protect yourself. As America s population ages, the need for long term care grows. Long term care addresses chronic illnesses like Alzheimer s or a disability that leaves you unable to perform basic everyday tasks such as bathing, dressing, or eating. 2 The new Long Term Care Rider on TransACE can help you pay for your care and treatment by giving you early access to the death benefit. 3 And the cost of Trans- ACE s Long Term Care Rider is guaranteed to never increase during your lifetime. Helps provide flexibility for life. Protection and guarantees shouldn t have to mean a life insurance policy that doesn t let you respond to life s changes. Transamerica Life understands this and has built in a way for you to surrender the policy during certain periods and be eligible to receive up to 100% of the life insurance premiums that you paid. We call it the MultiFlex Surrender Endorsement. 4 You ll call it a great idea if you need to use it. 1 Guarantees are based on the claims-paying ability of Transamerica Life Insurance Company. Fluctuations in interest rates and/or policy charges may require the payment of additional premiums to keep the policy in force. 2 A chronically ill individual is defined as an individual who has been certified by a Licensed Health Care Practitioner as being unable to perform two of six Activities of Daily Living (bathing, continence, dressing, eating, toileting and transferring) for a period of at least 90 days or having a severe cognitive impairment. 3 The amount of LTC benefits available is based on the face amount of the life insurance policy. LTC benefits are made available by early payment of the death benefit. 4 Surrender value will be the lesser of 100% of gross premiums paid less any refunds, partial surrenders, and outstanding policy loans or 33% of the lowest face amount less any outstanding loans and any partial surrenders during the 60-day period following the 15th or 20th policy anniversary, or at any time on or after the 25th policy anniversary. Surrender value will be reduced on a dollar-for-dollar basis by any long term care benefits paid out.
7 With so much uncertainty these days, it s nice to know there are still important safeguards you can put in place to help protect the financial future of your loved ones. You re not the only one looking out for yourself and the people you love the most Transamerica Life is looking out for families just like yours. Get started with your protection solution today. Call your life insurance representative or Transamerica Life right away. TransACE is a non-participating flexible-premium universal life insurance policy issued by Transamerica Life Insurance Company, Cedar Rapids, IA Policy Form No (CVAT), Group Certificate No (CVAT), Long Term Care Rider Form No. ICC12 LTCR02 or LTCR02. Policy and rider form and number may vary, and this policy and rider may not be available in all jurisdictions. Insurance eligibility and premiums are subject to underwriting. In most states, in the event of suicide during the first two policy years, death benefits are limited only to the return of premiums paid. ICC 12 OL [XXX XX XX XXXX XXXX]
8 Product Name: TransACE Long Term Care Rider Consumer Flyer Supporting Document Schedules Item Status: Status Date: Satisfied - Item: Comments: Attachment(s): ICC 12 OL AR COVER LETTER AND STATEMENT OF VARIABILITY Approved 07/27/2012 ICC 12 OL AR LTC LETTER.pdf ICC 12 OL Statement of Variability AR.pdf
9 Transamerica Life Insurance Company 4333 Edgewood Road NE Cedar Rapids, Iowa July 27, 2012 Jay Bradford, Commissioner Arkansas Insurance Department 1200 West 3 rd Street Little Rock, AR Administrative Office P.O. Box 5068 Clearwater, FL (727) [email protected] RE: TRANSAMERICA LIFE INSURANCE COMPANY NAIC #86231, FEIN # Long Term Care Rider Advertising Form No. ICC 12 OL TRANSACE LONG TERM RIDER CONSUMER FLYER To Whom It May Concern: Enclosed for review and approval is the above referenced long term care rider advertising form intended to be used with Policy Form , approved on January 10, 2012 (SERFF Tracking #AEGB ); and Rider Form LTCR 02, approved May 22, 2012 (SERFF Tracking #AEGB ). This form will not replace any supplemental illustration form previously approved by the State. This advertising flyer is intended for use with individuals who are interested in purchasing a Long Term Care Rider with their life insurance policy. Bracketed information is intended to be variable. Please see the attached Statement of Variability on the Supporting Documentation tab. We trust that this filing will meet with your approval. If you should have any questions regarding this submission, please feel free to call me at (727) , or contact me at my address above. Thank you in advance for your consideration. Sincerely, Jayne Flood Assistant Vice President Advertising Compliance
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11 Statement of Variability For Consumer Flyer Form ICC 12 OL Invitation to Inquire Transamerica Life Insurance Company Home Office: Cedar Rapids, Iowa Administrative Office: P.O. Box 5068 Clearwater, FL Transamerica Life Insurance Company is certifying to the following: 1. The final form issued to the consumer will not contain brackets denoting variable text. 2. Any variable text included in this Statement of Variability will be effective only for future issues. 3. Only text included in this Statement will be allowed to be used on the referenced Form received by consumers. 4. Any changes to variable text or permissible ranges of values will be submitted for approval prior to implementation if required by the State of Arkansas. VARIABLE DESCRIPTIONS: PAGE 2: Contact information for agent / producer will appear in bracketed area. PAGE 2 BOTTOM OF PAGE: Bracketed information below the form number in lower left corner reserved for any required state specific form number
SERFF Tracking #: SHPW-128659165 State Tracking #: Company Tracking #: INS-00071 (08/11) ADWORDS 1, 6, 7, 8, 9,...
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