TABLE OF CONTENTS ILLINOIS ADMINISTRATIVE CODE

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1 Sub Chapter: a and Classifications Part #: 101 Nation-Wide Marine Definition of the National Association of Insurance Commissioners Restrictions Marine and/or Transportation Policies Coverage not Permitted Part #:102 Plate Glass Service Contracts Contracts with Glass Companies Sub Chapter: b Domestic Stock Companies Part #: 201 Subordinated Indebtedness Section: 5 Statutory Application and Effective Date Approval of Debenture Form by Director Prior to shareholder Approval Approval by Shareholders Consideration Reporting and Accounting of Indebtedness Repayment of Principal and Payment of Interest Part #: 202 Mortgage Guaranty Insurance Illustration A and Application Restrictions on the Transaction of Business Reinsurance Reserves General Unearned Premium Factor to be Applied to Premiums in Force on Valuation Date Part #: 203 Proxies, Consents and Authorizations of Domestic Stock Companies 0, Application and Effective Date Proxies, Consents and Authorizations Disclosure of Equivalent Information Information to Be Furnished to Security Holders Requirements as to Proxy and Information Statement Material Required to Be Filed False or Misleading Statements Prohibition of Certain Solicitation Special Provisions Applicable to Election Contests

2 Section: 110 EXHIBIT A EXHIBIT B Proposals From Security Holders Information Required in Proxy Statement or Information Statement Information to be Included in Statements Filed By or on Behalf of a Participant (Other than the Company in a Proxy Solicitation in an Election Contest) Part #: 204 Insider Trading of Domestic Stock Insurance Company Equity Securities Section: 5 EXHIBIT A EXHIBIT B General Application Regulations Under Subsection (a) of the Act Regulations Under Subsection (b) of the Act Regulations Under Subsection of the Act Regulation Under Subsection (e) of the Act Initial Statement of Beneficial Ownership of Securities Statement of Changes in Beneficial Ownership of Securities Part #: 205 Municipal Bond Insurance Requirements Limitations and Restrictions Financial statements Reinsurance Collateral Security of Other Laws Sub Chapter: c Domestic Mutual Companies Part #: 301 Accumulation of Guaranty Fund or Guaranty Capital Reporting and Accounting of Such Indebtedness (Recodified at 39 Ill. Reg. 2799, effective February 6, 2015) Application and Effective Date Approval of Certificate Form by Director Execution of Agreement Consideration Reporting and Accounting of Indebtedness Retirement of Guaranty Fund and Guaranty Capital and Payment of Interest

3 Sub Chapter: d Reciprocals Part #: 401 Accumulation of Guaranty Fund or Guaranty Capital Reporting and Accounting of Such Indebtedness Application and Effective Date Approval of Certificate Form by Director Execution of Agreement Consideration Reporting and Accounting of Indebtedness Retirement of Guaranty Fund and Guaranty Capital and Payment of Interest Part #: 551 Illinois Insurance Exchange Annual Statement and Scope Contents of the Illinois Insurance Exchange Annual Statement Annual Financial Report on each syndicate Severability Provision Sub Chapter: g Foreign or Alien Companies Part #: 601 Foreign and Alien Insurer Annual Audited Financial Reports Repealed at 19 Ill. Reg , August 14, 1995 Sub Chapter: i Advisory Organizations Part #: 751 Preamble and Preamble Part #: 752 License, Documents Necessary to Engage in Activities and Examinations License Documents-Joint Underwriting and Joint Reinsurance Submission of Applications Examinations Part #: 753 Filing Policy and Endorsements Form (Amended at 39 Ill. Reg. 4061, effective March 9, 2015) Companies Must File Form and Content of Filings Submission of Filing

4 EXHIBIT A Authorization to Accept Filings by Reference (Form RF-1) (Repealed) Part #: 754 Rules and Rate Filings (Amended at 39 Ill. Reg. 8266, effective May 26, 2015) EXHIBIT A EXHIBIT B EXHIBIT C Companies Must File Other Company Filings (Repealed) Documentation - Individual Risks Submission of Filings Prohibited Acts and Practices Summary Sheet (Form RF-3) (Repealed) Automobile Annual Premium Comparison (Form FR-4) (Repealed) Summary Sheet (Form RF-3) (Repealed) Sub Chapter: j Investments of Domestic Companies Part #: 801 Change Investment Assets and Scope Procedures of Valuing Investments Severability Provision Part #: 802 Purchasing And Selling Call And Put Options Contracts Purchase of Exchange-Traded Call and Put Options Sale and Assignment of Call and Exchange-Traded Put Options Accounting for Transactions in Call and Put Options Valuation Administration and Recordkeeping Severability Provision Part #: 803 Lending Of Securities (Repealed) Agreement Limitations, Valuation and Reporting Severability Provision Part #: 804 Repurchase and Reverse Repurchase Agreements Repealed at 26 Ill. Reg. 1202, effective January 18, 2002

5 Part #: 806 Derivative Instruments Guidelines and Internal Control Procedures Documentation Requirements Trading Requirements Part #: 807 Custody Agreements (Recodified at 39 Ill. Reg. 2801, effective February 6, 2015) Custody Agreements Requirements Sub Chapter: k Insurance Part #: 851 Acquisition of Control of a Domestic Company Illustration A Illustration B Illustration C Illustration D (Repealed) Acquisition of Control - Form of Statement Filing Registration of Insurers - Form of Statement Filing (Repealed) Pre-acquisition Notification - Form of Statement Filing (Repealed) Extraordinary Dividends and Other Distributions (Repealed) Statement Regarding the Acquisition of, Control of or Merger With a Domestic Insurer Insurance Holding Company System Registration Statement (Repealed) Affidavit of Foreign Company Instructions (Repealed) Form CX (Repealed) Part #: 852 Registration of Insurers (Recodified at 39 Ill. Reg. 2802, effective February 6, 2015) Registration of Insurers - Form of statement Filing Summary of Changes to Registration Statement Illustration A Insurance Holding Company System Registration Statement Initial, Annual or Amendment (Repealed) Illustration B Form B - Insurance Holding Company System Registration Statement - Initial, Annual or Amendment Illustration C Form C - Summary of Registration Statement Part #: 853 Pre-Acquisition Notification

6 Illustration A Pre-acquisition Notification - Form of Statement Filing Form CX Part #: 854 Prior Notification of Transactions Illustration A Prior Notification of Transactions - Required Information Penalties Prior Notification of Transactions Part #: 855 Prior Notification of Dividends on Common Stock and Other Distributions Prior Notification of Dividends and Other Distributions Penalties Illustration A Form D-2 Sub Chapter: l Provisions Applicable to All Companies Part #: 901 Destruction of Records Section: 5 Introduction Procedures for Compiling and Submitting Lists and Schedules of Records for Destruction Part #: 902 Insurance Company's Originating Payday Loans (Recodified at 39 Ill. Reg. 4163, effective March 9, 2015) and Insurance Companies Originating Payday Loans Enforcement Part #: 903 Uniform Accounting Instructions for Fire and Marine and Casualty and Surety Insurers Sub Part A Rules Relating to Operating Expense Classifications Section: 5 Introduction Claim Adjustment services Commission and Brokerage Allowances to Managers and Agents Advertising Boards, Bureaus and Associations Surveys and Underwriting Reports Audit of Assureds' Records Salaries

7 Employee Relations and Welfare 0 Insurance Section: 110 Directors' Fees Section: 120 Traveling and Travel Items Section: 130 Rent and Rent Items Section: 140 Equipment Section: 150 Printing and Stationery Section: 160 Postage, Telephone and Telegraph, Exchange and Express Section: 170 Legal and Auditing Section: 180 Taxes, Licenses and Fees Section: 190 Real Estate Expenses 0 Real Estate Taxes Section: 210 Miscellaneous Section: 220 General Instructions in Connection with Operating Expense Classifications Sub Part B Rules Relating to the Allocation of Joint Expenses to Companies Section: 310 Joint Expenses Sub Part C Rules Relating to the Composition of, and Allocation to, Expense Groups Section: 410 List of Expense Groups Section: 420 Composition of the Expense Groups Section: 430 Allocation to Expense Groups Sub Part D Rules Relating to Allocation to Lines of Business Section: 510 Lines of Business Section: 520 Allocation of Expenses to Lines of Business Sub Part E Special Instructions Relating to the Allocation of Salaries and Other Expenses Section: 610 General Procedures in Allocating Salaries Section: 620 General Instructions Regarding Allocation Bases Section: 630 Special Statements and Records Required Part #: 904 Internal Security Standard and Fidelity Bonds Section: 5 and Registration of Securities Custody, Care and Disposition of Securities Signature of Checks - Facsimile Signatures Bank Balance Verification Bond Requirements Part #: 906 Illegal Groups and Unfair Rate Repealed at 35 Ill. Reg. 7389, effective April 25, 2011 Part #: 907 Exempt Sale of Insurance Company Shares Definition of Shares Exempt Transactions Private Sale

8 Dealer Trading Approved Stock Option Plans Part #: 908 Recording of Premiums Collected and Definition of Gross Premiums Application and Effective Date Recording of Premiums Collected "Gross Premiums" Defined Part #: 909 Advertising and Sales Promotion of Life Insurance and Annuities (Recodified at 39 Ill. Reg. 4164, effective March 9, 2015) Section: 85 0 Section: 110 Section: 120 Form and Content of Advertisements Disclosure Requirements Identity of Insurer Jurisdictional Licensing and Status of Insurer Statements about an Insurer Advertising and Marketing of Annuities and Variable Life Contracts Advertising Records and Certificates Noncompliance Conflict with Other Rules Severability Provision Part #: 910 Correlated Sales of Life Insurance and Mutual Funds 0 Section: 110 Statement of Policy Responsibility of Company and Agent Tie-in Sales Written Proposal Contents of Proposal Statement to be Separate Exclusion Violation Effective Date Part #: 911 Unearned Premium Reserve Computation Repealed at 35 Ill. Reg. 6180, effective March 28, 2011 Part #: 912 Commission Accounting for Direct Premium Repealed at 33 Ill. Reg. 4963, effective March 19, 2009

9 Part #: 913 Securities Regulation 0 Section: 110 EXHIBIT A EXHIBIT B EXHIBIT C ILLSTRATION A and Scope Definition of Shares Filing Requirement The Prospectus Alternate Prospectus Equity Interest of Certain persons Escrow Requirements Stock Option Plans Documents to be Filed with the Director Severability Provision Instructions As To Financial Statements (Repealed) Instructions As To Financial Statements (Repealed) Statement of Education, Prior Occupation, Business Experience and Supplementary Information (Repealed) Biographical Affidavit Part #: 914 Life and Accident and Health Policy Forms; Dividends Scope; Prohibition Dividend Provisions Effective Date Part #: 915 Management Information Reports Section: 5 EXHIBIT A (Repealed) and Scope Biographical Affidavits Change in Status Additional Information Severability Provision Company Officer Appointment Form (Repealed) Part #: 916 Required Procedure for Filing and Securing Approval of Policy (Amended at 39 Ill. Reg. 2590, effective February 6, 2015) EXHIBIT A and Scope Filing Procedures Certification of Compliance Effective Date (Repealed) Certificate of Compliance

10 EXHIBIT B Coding Guide (Repealed) EXHIBIT C Discontinued Acronyms From Exhibit B Coding Guide (Repealed) EXHIBIT G General Transmittal Instructions and Transmittal (Repealed) EXHIBIT H Replacement/Withdrawal Transmittal Instructions and Transmittal (Repealed) EXHIBIT I Certificate of Assumption Transmittal Instructions and Transmittal (Repealed) EXHIBIT J Informational filing Transmittal Instructions and Transmittal (Repealed) Part #: 917 Life Insurance and Annuity Replacement Regulation 0 Section: 110 EXHIBIT A EXHIBIT B EXHIBIT C EXHIBIT D Statutory (Repealed) Definition of Replacement Other Exemptions Duties of Insurance Producers Duties of Replacing Insurers Duties of Insurers With Respect to Direct-Response Sales Duties of the Existing Insurer (Repealed) Penalties (Repealed) Severability Notice Regarding Replacement of Life Insurance or Annuity Notice Regarding Proposed Replacement of Life Insurance or Annuity To Be Used Where Proposed Policy is a Direct-Response Product (Repealed) Comparative Information Form (Repealed) Part #: 919 Improper Claims Practice 0 EXHIBIT A Scope and Examinations /Explanations Required Practices for all Insurance Companies Improper Practices or Procedures for all Insurance Companies Required Claims Practices - Life, Accident and Health Companies Required Claim Practices - Private Passenger Automobile - Property and Casualty Companies Improper Practices or Procedures - Property and Casualty Companies Severability Provision Total Loss Automobile Claims Part #: 920 Actuarial Qualification Repealed at 17 Ill. Reg , September 14, 1993

11 Part #: 921 Exclusion Provisions Automobile Scope Exclusions Part #: 922 Retrospective Compensation Agreements Retrospective Compensation Agreements Retrospective Compensation Agreements - Defined Filing Effective Date Part #: 923 Ceded Reinsurance of Property and Liability Insurers Repealed at 30 Ill. Reg , effective July 24, 2006 Part #: 924 Equipment Exclusion Scope Exclusions The Endorsement Exception Part #: 925 Annual Audited Financial Report (Amended at 39 Ill. Reg. 6485, effective April 24, 2015) 0 Section: 110 Section: 115 Section: 120 Section: 130 Section: 140 Section: 145 Section: 150 (Repealed) and Scope General Requirements Filing and Extensions for Filing of Annual Audited Financial Report and Audit Committee Appointment Contents of Annual Audited Financial Report Designation of Independent Certified Public Accountant Qualifications of Independent Certified Public Accountant Consolidated or Combined Audits Scope of Audit and Report of Independent Certified Public Accountant Notification of Adverse Financial Condition Communication of Internal Control Related Matters Noted in an Audit Accountant's Letter of Qualifications (Renumbered) Accountant's Letter of Qualifications Definition, Availability and Maintenance of Independent Certified Public Accountant Workpapers Requirements for Audit Committees Penalties (Renumbered) Conduct of Insurer in Connection with Preparation of Required Reports

12 Section: 160 Section: 170 Section: 180 Section: EXHIBIT A Management s Report of Internal Control over Financial Reporting Exemptions and Transitions (Renumbered) (amended) Canadian and British Companies Penalties (Renumbered) Severability Provisions (Renumbered) CPA Letter of Representation Part #: 926 Insurance Department Consumer Complaints EXHIBIT A EXHIBIT B Scope Complaint Handling Procedure Maintenance of Complaint Records Severability Provision (Repealed) Effective Date (Repealed) Complaint Record Explanation Part #: 927 Anticipated Salvage and Subrogation Recoverable Repealed at 33 Ill. Reg. 4965, effective March 19, Part #: 928 Medical Malpractice Data Base Section: 42 EXHIBIT A EXHIBIT B EXHIBIT C EXHIBIT D and Scope Reports Circuit Court Clerk Reporting Requirements Effective Date (Repealed) Circuit Court Clerk Paper Reporting Format Illinois Medical Liability Paid and Closed Insurance Claims Report (Repealed) Illinois Medical Liability Insurance Uniform Claims Report Instructions (Repealed) Illinois Medical Professional Liability Insurance Uniform Claims Reporting (IMPLIUCR) - Batch Reporting Requirements and Navigational User's Guide Part #: 929 Medical Liability Insurance Rules and Rate Filings (amended at 39 Ill. Reg. 392, effective December 19, 2014 ) Sub Part A General Provisions and Reporting Requirements Section: 15 and Scope Filing Requirements Severability Provision (Repealed)

13 Exemption from Filings Sub Part B Administrative Hearing Provisions 0 (Repealed) Section: 210 Form of Documents (Repealed) Section: 220 Filing (Repealed) Section: 230 Computation of Time (Repealed) Section: 240 Appearances (Repealed) Section: 250 Notice of Hearing (Repealed) Section: 260 Publication of the Notice of Hearing (Repealed) Section: 270 Bias or Disqualification of Hearing Officer (Repealed) Section: 280 Pre-hearing Conferences (Repealed) Section: 290 Conduct of the Hearing (Repealed) 0 Hearing Officer's Findings, Conclusions and Recommendations (Repealed) Section: 310 Order of the Secretary or Director (Repealed) Part #: 930 Life Insurance Solicitation (Recodified at 39 Ill. Reg. 4166, effective March 9, 2015) EXHIBIT A EXHIBIT B Scope Disclosure Requirements Preneed Funeral Contracts or Prearrangements General Rules Life Insurance Buyer's Guide, Language and Content Failure to Comply Life Insurance Buyer's Guide NAIC Life Insurance Buyer s Guide Part #: 931 Required Procedure for Consumer Complaint Notification Scope Procedures for Notification Exceptions Severability Part #: 932 Automobile Anti-Theft Mechanisms Scope Discounts to Qualified Motor Vehicles General Rules Applicable To All Anti-Theft Mechanisms Types of Anti-Theft Devices Qualifying for Discounts (Repealed) Severability Provision

14 Chapter: I Department of Financial and Professional Regulation Sub Chapter: 1 Provisions Applicable to All Companies Part #: 933 Professional Liability Insurance Reporting Requirements and Resource Center (Repealed at 39 Ill. Reg. 4959, effective March 23, 2015 (Repealed) and Scope (Repealed) (Repealed) Company Reporting Requirements (Repealed) Producer Reporting Requirements (Repealed) Sub Chapter: 1 Provisions Applicable to All Companies Part #: 934 Usage of Smoker/Nonsmoker Mortality Tables in Determining Minimum Reserve Liabilities and Nonforfeiture Benefits Utilization of the 1958 CSO and CET Smoker and Nonsmoker Mortality Tables Utilization of the 1980 CSO and CET Smoker and Nonsmoker Mortality Tables Conditions Severability Part #: 935 The Minimum Mortality Standard for Valuation of Annuity and Pure Endowment Contracts (Amended at 38 Ill. Reg , effective January 1, 2015) Section: 45 Section: 55 Illustration A Illustration B Illustration C Illustration d Individual Annuity or Pure Endowment Contracts Application of the 2012 IAR Table Group Annuity and Pure Endowment Contracts Application of the 1994 GAR Table Severability (Repealed Effective Date (Repealed) 2012 IAM Period Table, Female, Age Nearest Birthday 2012 IAM Period Table, Male, Age Nearest Birthday Projection Scale G2, Female, Age Nearest Birthday Projection Scale G2, Male, Age Nearest Birthday Part #: 936 Supplemental Reports for Property and Casualty Insurance Companies

15 EXHIBIT A Notification Procedures Reporting Requirements for Notified Property and Casualty Companies Having Direct Premium Income Penalties Property and Casualty Reporting Form Chapter: I Department of Financial and Professional Regulation Sub Chapter: 1 Provisions Applicable to All Companies Part #: 937 Supplemental Reports for Accident and Health Insurers Repealed at 19 Ill. Reg. 5255, effective March 28, 1995 Part #: 938 Accident and Health Risk Ratio Notice SOURCE: Repealed at 30 Ill. Reg. 6351, April 3, 2006 Sub Chapter: 1 Provisions Applicable to All Companies Part #: 939 Medical Liability Insurance Loss Reports Illustration A Illustration B Illustration C Illustration D Illustration E Illustration F Required Information Penalties Policies Covering Physicians and Surgeons-Claim Payments Policies Covering Physicians and Surgeons-Reserves Policies Covering Physicians and Surgeons-Number of Claims Other Policies - Claim Payments Other Policies - Reserves Other Policies - Number of Claims Part #: 940 Mid-Term Cancellations Certification Chapter: I Department of Financial and Professional Regulation Sub Chapter: l Provisions Applicable to All Companies Part #: 942 Tax Allocation Repealed at 29 Ill. Reg , August 30, 2005 Sub Chapter: 1 Provisions Applicable to All Companies Part #: 945 Admitted Assets Definition of Admitted Assets for insurance Companies

16 Definition of Admitted Assets for Health Maintenance Organization Sub Chapter: m Credit Life and Credit Accident Insurance Part #: 951 Credit Life and Credit Accident and Health Insurance Credit Life Insurance Credit Accident and Health Insurance (Repealed) and Scope Credit Life Insurance Rates Experience Reports and Adjustment of Prima Facie Rates Credit Life Rate Adjustments Effective Date Part #: 952 Credit Accident and Health Insurance Section: 15 Filing and Approval of Premiums (Renumbered) Credit Accident and Health Insurance Coverage Filing and Approval of Premiums Part #: 953 Premium Refunds Computation of Premium Refunds Sub Chapter: o Reinsurance Part #: 1101 Reinsurance Ceded Contracts Section: 5 Application and Effective Date Information Required to be Furnished Part #: 1102 Letters of Credit Repealed at 20 Ill. Reg. 386, January 1, 1996 Sub Chapter: o Reinsurance Part #: 1103 Life Reinsurance Agreements Section: 25 Preamble Scope Accounting Requirements Written Agreements Existing Agreements

17 EXHIBIT A Risk Category Sub Chapter: o Reinsurance Part #: 1104 Credit for Reinsurance Ceded (Recodification at 39 Ill. Reg. 5895) Section: 15 0 Section: 110 Section: 120 APPENDIX A Credit for Reinsurance - Reinsurer Licensed in this State Credit for Reinsurance - Accredited Reinsurers Credit for Reinsurance - Reinsurers Maintaining Trust Funds Credit for Reinsurance Required by Law Reduction from Liability for Reinsurance Ceded to an Unauthorized Assuming Insurer Trust Agreements Qualified Under section of this Part Letters of Credit Qualified Under Section of this Part Other Security Reinsurance Contract Contracts Affected Severability Form AR-1 Certificate of Assuming Insurer Sub Chapter: q Corrective Orders Part #: 1250 Corrective Orders Section: 15 Standards Director's Judicial Review Sub Chapter: s Legal Reserve Life Insurance Part #: 1401 Security Valuation Reserve Requirements in Filing Annual Statement Part #: 1402 War Clauses Section: 5 Introduction Military Exclusion Non-Combatant Civilian Exclusion Civilian Exclusion Part #: 1403 Family Group Life Insurance Policy Forms Death by Disease - Exclusions Statement of Amount of Insurance

18 Methods of Calculation Referenced to Greater Amount of Insurance Individual Applications - Family Members Application Form Questions Changes in Rules Part #: 1404 Valuation of Reserves Completion and Review of Valuation of Reserves Part #: 1405 Construction and Filing of Life Insurance and Annuity (Amended at 39 Ill. Reg , effective October 22, 2015) Section: 15 Illinois Guidelines for Filing and Approval of Life and Annuity Forms Applications Policy Forms Group Insurance Franchise Life Insurance Annuities Alternate and/or Insert Pages Substitution Filings Part #: 1406 Individual and Group Life Insurance Policy Illustrations 0 Section: 110 and Scope Policies to Be Illustrated Standards for Basic Illustrations Standards for Supplemental Illustrations General Rules and Prohibitions Delivery of Illustrations and Record Retention Annual Report - Notice to Policy Owners Annual Certifications Penalties Part #: 1407 Accelerated Life Benefit/Terminal Illness/Qualified Conditions and Form Requirements Standards for Claims Payment Required Disclosure Provisions Actuarial Standards Actuarial Disclosure and Reserves

19 Part #: 1408 Actuarial Opinion and Memorandum Illustration A Scope General Requirements Required Opinions (Repealed) Statement of Actuarial Opinion Not Including an Asset Adequacy Analysis Statement of Actuarial Opinion Based On an Asset Adequacy Analysis (Repealed) Statement of Actuarial Opinion Based On an Asset Adequacy Analysis Description of Actuarial Memorandum Including an Asset Adequacy Analysis and Regulatory Asset Adequacy Issues Summary Additional Considerations for Analysis (Repealed) Statement of Actuarial Opinion Based on Asset Adequacy Analysis Format Sub Chapter: s Legal Reserve Life Insurance Part #: 1409 Valuation of Life Insurance Policies Including the Use of Select Mortality Factors APPENDIX A Illustration A Illustration B Illustration C Illustration D Illustration E Illustration F General Calculation Requirements for Basic Reserves and Deficiency Reserves Calculation of Minimum Valuation Standard for Policies with Guaranteed Nonlevel Premiums or Guaranteed Nonlevel Benefits (Other Than Universal Life Policies) Calculation of Minimum Valuation Standard for Flexible Premium and Fixed Premium Universal Life Insurance Policies That Contain Provisions Resulting in the Ability of a Policyowner to Keep a Policy in Force Over a Secondary Guarantee Period Use of 2001 CSO Mortality Table Use of 2001 CSO Preferred Class Structure Mortality Table Select Mortality Factors Male Aggregate Male Nonsmoker Male Smoker Female Aggregate Female Nonsmoker Female Smoker Sub Chapter: s Legal Reserve Life Insurance Part #: 1410 Modified Guaranteed Annuity (MGA) Contracts

20 of Insurers Filing of Contracts Modified Guaranteed Annuity (MGA) Contract Requirements Reserve Liabilities Reports to Policyholders Part #: 1411 Universal Life Insurance and Valuation Nonforfeiture Policy and Group Certificate Requirements and Disclosures Annual Report to Individual Policyowner or Group Certificate Holder Sub Chapter: s Legal Reserve Life Part #: 1412 Recognition of the 2001 CSO Mortality Table for Use in Determining Reserve Liabilities and Nonforfeiture Benefits (Recodified at 39 Ill. Reg. 8338) APPENDIX A Illustration A Illustration B Illustration C Illustration D Illustration E Illustration F Illustration G Illustration H Illustration I Illustration J Illustration K Conditions of the 2001 CSO Mortality Table to 50 Ill. Adm. Code 1409 Gender-Blended Tables Use of 2001 CSO Preferred Class Structure Mortality Table 2001 CSO Preferred Class Structure Mortality Table Male Composite Select & Ultimate Age Nearest Birthday Male Nonsmoker Select & Ultimate Age Nearest Birthday Male Smoker Select & Ultimate Age Nearest Birthday Female Composite Select & Ultimate Age Nearest Birthday Female Nonsmoker Select & Ultimate Age Nearest Birthday Female Smoker Select & Ultimate Age Nearest Birthday Ultimate Age Nearest Birthday (Male/Female Composite/nonsmoker/smoker) Male Composite Select & Ultimate Age Last Birthday Male Nonsmoker Select & Ultimate Age Last Birthday Male Smoker Select & Ultimate Age Last Birthday Female Composite Select & Ultimate Age Last

21 TABLE OF CONTENTS Illustration L Illustration M Illustration N Illustration O Illustration P Illustration Q Illustration R Illustration S Illustration T Illustration U Illustration V Illustration W Illustration X Illustration Y Illustration Z Illustration AA Birthday Female Nonsmoker Select & Ultimate Age Last Birthday Female Smoker Select & Ultimate Age Last Birthday Ultimate Age Last Birthday (Male/Female Composite/nonsmoker/smoker) Blended 80% Male, 20% Female Composite Select and Ultimate Age Nearest Birthday Blended 60% Male, 40% Female Composite Select and Ultimate Age Nearest Birthday Blended 50% Male, 50% Female Composite Select and Ultimate Age Nearest Birthday Blended 40% Male, 60% Female Composite Select and Ultimate Age Nearest Birthday Blended 20% Male, 80% Female Composite Select and Ultimate Age Nearest Birthday Blended Composite Ultimate Age Nearest Birthday Blended 80% Male, 20% Female Nonsmoker Select and Ultimate Age Nearest Birthday Blended 60% Male, 40% Female Nonsmoker Select and Ultimate Age Nearest Birthday Blended 50% Male, 50% Female Nonsmoker Select and Ultimate Age Last Birthday Blended 40% Male, 60% Female Nonsmoker Select and Ultimate Age Nearest Birthday Blended 20% Male, 80% Female Nonsmoker Select and Ultimate Age Nearest Birthday Blended Nonsmoker Ultimate Age Nearest Birthday Blended 80% Male, 20% Female Smoker Select and Ultimate Age Nearest Birthday Illustration BB Blended 60% Male, 40% Female Smoker Select and Ultimate Age Nearest Birthday Illustration CC Blended 50% Male, 50% Female Smoker Select and Ultimate Age Nearest Birthday Illustration DD Blended 40% Male, 60% Female Smoker Select and Ultimate Age Nearest Birthday Illustration EE Blended 20% Male, 80% Female Smoker Select and Ultimate Age Nearest Birthday Illustration FF Illustration GG Illustration HH Illustration II Illustration JJ Illustration KK Blended Smoker Ultimate Age Nearest Birthday Blended 80% Male, 20% Female Composite Select and Ultimate Age Last Birthday Blended 60% Male, 40% Female Composite Select and Ultimate Age Last Birthday Blended 50% Male, 50% Female Composite Select and Ultimate Age Last Birthday Blended 40% Male, 60% Female Composite Select and Ultimate Age Last Birthday Blended 20% Male, 80% Female Composite Select and Ultimate Age Last Birthday

22 Illustration LL Illustration MM Illustration NN Illustration OO Illustration PP Illustration QQ Illustration RR Illustration SS Illustration TT Illustration UU Illustration VV Illustration WW Illustration XX Blended Smoker Ultimate Age Last Birthday Blended 80% Male, 20% Female Nonsmoker Select and Ultimate Age Last Birthday Blended 60% Male, 40% Female Nonsmoker Select and Ultimate Age Last Birthday Blended 50% Male, 50% Female Nonsmoker Select and Ultimate Age Last Birthday Blended 40% Male, 60% Female Nonsmoker Select and Ultimate Age Last Birthday Blended 20% Male, 80% Female Nonsmoker Select and Ultimate Age Last Birthday Blended Non Smoker Ultimate Age Last Birthday Blended 80% Male, 20% Female Smoker Select and Ultimate Age Last Birthday Blended 60% Male, 40% Female Smoker Select and Ultimate Age Last Birthday Blended 50% Male, 50% Female Smoker Select and Ultimate Age Last Birthday Blended 40% Male, 60% Female Smoker Select and Ultimate Age Last Birthday Blended 20% Male, 80% Female Smoker Select and Ultimate Age Nearest Birthday Blended Smoker Ultimate Age Last Birthday Part #: 1413 Recognition of 2001 CSO Preferred Class Structure Mortality Tables for Use in Determining Reserve Liabilities 2001 CSO Preferred Class Structure Table Conditions Chapter I: Department of Insurance Sub Chapter: s Legal Reserve Life Insurance Part #: 1414 Preneed Life Insurance Minimum Standards for Determining Reserve Liabilities and Nonforfeiture Values (Recodification at 39 Ill. Reg. 5897) Scope Minimum Valuation Mortality Standards Transition Rules Part #: 1415 Minimum Standards for Determining Nonforfeiture Benefits for Certain Life Insurance Policies Having Intermediate Cash Benefits Scope

23 Methodology Sub Chapter: t Separate Accounts Part #: 1451 Variable Contracts (Amended at 39 Ill. Reg. 9369, effective June 26, 2015; amended at 39 Ill. Reg , effective October 22, 2015) APPENDIX A Qualification of Insurance Companies to Issue Variable Contracts Separate Accounts Filing of Contracts Contracts Providing for Variable Benefits Required Reports Foreign or Alien Companies Licensing of Producers for Variable Contracts Disclosure Variable Annuities Only Sub Chapter: v Assessment Legal Reserve Life Companies Part #: 1601 Securities Valuation Reserve Requirements In Filing annual Statements Part #: 1602 War Clauses Section: 5 Introduction Military Exclusion Non-Combatant Civilian Exclusion Civilian Exclusion Sub Chapter: v Assessment Legal Reserve Life Companies Part #: 1603 Family Group Life Insurance Policy Forms (Repealed at 39 Ill. Reg , effective October 22, 2015) Death by Disease Exclusions (Repealed) Statement of Amount of Insurance (Repealed) Methods of Calculation (Repealed) Reference to Greater Amount of Insurance (Repealed) Individual Applications - Family Members (Repealed) Application Form Questions (Repealed) Changes in Rules (Repealed)

24 Part #: 1604 Valuation of Reserves TABLE OF CONTENTS Completion and Review of Valuation of Reserves Part #: 1605 Legal Reserve Life Blank Legal Reserve Life Blank Prescribed Sub Chapter: w Fraternal Benefit Societies Part #: 1701 Explanation of Special and Contingency Reserves Requirements Part #: 1702 Security Valuation Reserve Repealed at 31 Ill. Reg , effective October 16, 2007 Part #: 1703 War Clauses Section: 5 Introduction Military Exclusion Non-Combatant Civilian Exclusion Civilian Exclusion Part #: 1704 Segregation of Accident and Health Business Authorization of Fraternal Benefit Societies to Write Accident and Health Insurance Establishment and Maintenance of Separate Accounts Provision for Payment Prohibition of Transfer of Money Collected to Pay for Losses Deficiency in Accounts Transferal of Accounts to Other Societies Part #: 1705 Construction and Filing of Forms EXHIBIT A Application Construction of Life Certificate Forms Construction of Accident and Health Forms Construction of All Forms Issued by Fraternal Benefit Societies Certificate of Compliance Part #: 1706 Adoption by Fraternal Benefit Societies of CSO 1958 Mortality Table Section: 5 Prescribed Procedures Interests of Present and Future Certificate Holders Adult and Juvenile Certificates Compliance

25 Sub Chapter: z Accident and Health Insurance Part #: 2001 Construction and Filing of Accident and Health Insurance Policy Forms Sub Part A Provisions Applicable to Individual and Group Policies Section: 1 Section: 2 and Cross References Section: 3 Discretionary Clauses Prohibited Section: 4 Guaranteed Availability and Renewability of Coverage Section: 5 Prohibition of Preexisting Conditions Exclusions Section: 6 No Lifetime or Annual Limits Section: 7 Prohibition on Rescissions Section: 8 Coverage of Preventive Health Services Section: 9 Prohibiting Discrimination Against Participants and Beneficiaries Based on Health Status Summary of Benefits and Coverage and Uniform Glossary Section: 11 Essential Health Benefits Section: 12 Cost Sharing Sub Part B Provisions Applicable to Individual Policies Construction of Accident and Health Insurance Policy Forms Filing of Policy Forms Section:110 Section: 120 Construction of Accident and Health Insurance Policy Forms Sub Part C Provisions Applicable to Group Policies Section: 210 Section: 220 Ban on Excessive Waiting Periods. Sub Chapter: z Accident and Health Insurance Part #: 2002 Advertising of Accident and Sickness Insurance 0 Section: 110 Section: 120 Section: 130 Section: 140 Section: 150 Method of Disclosure of Required Information Form and Content of Advertisements Advertisements of Benefits Payable, Losses Covered or Premiums Payable Necessity for Disclosing Policy Provisions Relating to Renewability, Cancellability and Termination Testimonials or Endorsements by Third Parties Use of Statistics Identification of Plan or Number of Policies Disparaging Comparisons and Statements Jurisdictional Licensing and Status of Insurer Identity of Insurer Group or Quasi-Group Implications

26 Section: 160 Introductory, Initial or Special Offers Section: 170 Statements about an Insurer Section: 180 Enforcement Procedures Section: 190 Severability Provision APPENDIX A Guidelines Illustration A Guideline to Section Illustration B Guideline to Section (a) Illustration C Guideline to Section (b) Illustration D Guideline to Section (a) Illustration E Guideline to Section (h) Illustration F Guideline to Section Illustration G Guideline to Section (a) Illustration H Guideline to Section (b) Illustration I Guideline to Section (a)(1) Illustration J Guideline to Section (a)(2) Illustration K Guideline to Section (a)(3) Illustration L Guideline to Section (a)(4) Illustration M Guideline to Section (a)(5) Illustration N Guideline to Section (a)(8) Illustration O Guideline to Section (b)(1) Illustration P Guideline to Section (b)(2) Illustration Q Guideline to Section (b)(3) Illustration R Guideline to Section (c)(1) Illustration S Guideline to Section (c)(2) Illustration T Guideline to Section (c)(3) Illustration U Guideline to Section Illustration V Guideline to Section (a) Illustration W Guideline to Section (b) Illustration X Guideline to Section (c) Illustration Y Guideline to Section (d) Illustration Z Guideline to Section (a) Illustration AA Guideline to Section (b) Illustration BB Guideline to Section (c) Illustration CC Guideline to Section (a) and (b) Illustration DD Guideline to Section Illustration EE Guideline to Section (a) Illustration FF Guideline to Section (b) Illustration GG Guideline to Section (a) and (b) Illustration HH Guideline to Section Illustration II Guideline to Section (a)(1) Illustration JJ Guideline to Section (a)(2) Illustration KK Guideline to section (a)(4) Illustration LL Guideline to Section (b) Illustration MM Guideline to Section Illustration NN Guideline to Section Part #: 2003 Use of the Terms "Noncancellable," "Noncancellable and Guaranteed Renewable," and "Guaranteed Renewable"

27 Section: 25 Requirements if the Term "Noncancellable", etc. Is Used in a Policy or Advertisement Requirements if the Term "Guaranteed Renewable" Is Used in a Policy or Advertisement Synonyms Medicare Exception Other Guarantees Effective Date Part #: 2004 Accident and Health Reserves (Recodified at 39 Ill. Reg. 2804, effective February 6, 2015) Section: 5 Section: 7 Application and Effective Date Active Life Reserves - Individual Policies Active Life Reserves - Group Policies Claim Reserves - Present Value of Amounts Not Yet Due on Claims Policies Issued Prior to Operative Date of Section 353 Sub Chapter: z Accident and Health Reserves Part #: 2005 Pre-Existing Illness The Minimum Definition of Pre-existing Illness or Pre-existing Condition Application of the Definition Policy Form Requirements Effective Date Part #: 2006 Required Benefits for Mental, Emotional or Nervous Disorders and Scope Severability Effective Date Part #: 2007 Minimum Standards of Individual Accident and Health Insurance

28 Section: 110 Revision of Noncomplying Policy Form and Subscriber Contracts Certificate of Compliance Required Prohibited Policy Provisions Accident and Health Minimum Standards for Benefits Required Disclosure Provisions Requirements for Replacement Severability Sub Chapter: z Accident and Health Insurance Part #: 2008 Minimum Standards for Individual and Group Medicare Supplement Insurance (Recodified at 39 Ill. Reg. 8346) Sub Part A General Provisions and Scope Section: 35 Effective Date (Repealed) Sub Part B Coverage, Policy & Benefit Provisions Section: 45 Creditable Coverage Policy and Terms Policy Provisions Section: 61 Benefit Conversion Requirements During Transition (Repealed) Section: 64 Benefit Standards for 2010 Standardized Medicare Supplement Benefit Plan Policies or Certificates Issued for Delivery with an Effective Date for Coverage on or after June 1, 2010 Section: 67 Standard Medicare Supplement Benefit Plans for 2010 Standardized Medicare Supplement Benefit Plan Policies or Certificates Issued for Delivery with an Effective Date for Coverage one or after June 1, 2010 Minimum Benefit Standards for Pre Standardized Medicare Supplement Benefit Plan Policies or Certificates Issued for Delivery Prior to February 11, 1992 Section: 71 Benefit Standards for 1990 Standardized Medicare Supplement Benefit Plan Policies or Certificates Issued or Delivered after February 11, 1992 and with an Effective Date for Coverage Prior to June 1, 2010 Section: 72 Standard Medicare Supplement Benefit Plans for 1990 Standardized Medicare Supplement Benefit Plan Policies or Certificates Issued or Delivered after February 11, 1992 and with an Effective Date for Coverage Prior to June 1, 2010 Section: 73 Medicare Select Policies and Certificates Sub Part C Enrollment & Eligibility Section: 74 Open Enrollment Section: 75 Guaranteed Issue for Eligible Persons Sub Part D Claims, Refunds & Credits Section: 76 Standards for Claims Payment Loss Ratio Standards and Refund or Credit of Premium Sub Part E Rates, Compensation Agreements, Disclosure, Replacement & Marketing

29 Section: 81 Filing and Approval of Policies and Certificates and Premium Rates Section: 82 Permitted Compensation Arrangements Required Disclosure Provisions Section: 91 Instructions for Use of the Disclosure Statements for Health Insurance Policies Sold to Medicare Beneficiaries that Duplicate Medicare 0 Requirements for Application Forms and Replacement Coverage 1 Standards for Marketing 2 Appropriateness of Recommended Purchase and Excessive Insurance Sub Part F Reporting & Prohibitions 3 Reporting of Multiple Policies 4 Prohibition Against Preexisting Conditions, Waiting Periods Elimination Periods and Probationary Periods in Replacement Policies or Certificates Sub Part G Miscellaneous Provisions Section: 110 Severability Section: 120 Effective Date (Repealed) APPENDIX A Policy Checklist APPENDIX B Outline of Medicare Supplement Coverage-Cover Page for Medicare Supplement Plans Sold prior to June 1, 2010 APPENDIX C Plan A (for plans issued on or prior June 1, 2010) APPENDIX D Plan B (for plans issued on or prior June 1, 2010) APPENDIX E Plan C (for plans issued on or prior June 1, 2010) APPENDIX F Plan D (for plans issued on or prior June 1, 2010) APPENDIX G Plan E (not available after May 31, 2010) APPENDIX H Plan F or High Deductible Plan F (for plans issued on or prior June 1, 2010) APPENDIX I Plan G (for plans issued on or prior June 1, 2010) APPENDIX J Plan H (not available after May 31, 2010) APPENDIX K Plan I (not available after May 31, 2010) APPENDIX L Plan J or High Deductible Plan J (not available after May 31, 2010) APPENDIX M Plan K (for plans issued on or prior June 1, 2010) APPENDIX N Plan L (for plans issued on or prior June 1, 2010) APPENDIX O APPENDIX P APPENDIX Q APPENDIX R APPENDIX S APPENDIX T APPENDIX U APPENDIX V APPENDIX W Notice of Medicare Changes (Renumbered) Medicare Supplement Policies Report (Renumbered) Disclosure Statements (Renumbered) Notice to Applicant Regarding Replacement of Medicare Supplement Insurance or Medicare Advantage Medicare Supplement Refund Calculation Format Notice of Medicare Changes Medicare Supplement Policies Report Disclosure Statements Outline of Medicare Supplement Coverage Cover Page for Medicare Supplement Plans Sold on or after June 1, 2010 APPENDIX AA Plan A (for plans issued on or after June 1, 2010) APPENDIX BB Plan B (for plans issued on or after June 1, 2010) APPENDIX CC Plan C (for plans issued on or after June 1, 2010) APPENDIX DD Plan D (for plans issued on or after June 1, 2010) APPENDIX EE Plan F or High Deductible Plan F (for plans issued on or after

30 June 1, 2010) APPENDIX FF Plan G (for plans issued on or after June 1, 2010) APPENDIX GG Plan K (for plans issued on or after June 1, 2010) APPENDIX HH Plan L (for plans issued on or after June 1, 2010) APPENDIX II Plan M (for plans issued on or after June 1, 2010) APPENDIX JJ Plan N (for plans issued on or after June 1, 2010) Sub Chapter: z Accident and Health Insurance Part #: 2009 Group Coordination of Benefits (Amended at 39 Ill. Reg , effective September 1, 2015) EXHIBIT A and Model COB Contract Provision Standards for Coordination of Benefits Procedure to be Followed by Secondary Plan Miscellaneous Provisions Model COB Provisions Part #: 2010 Advertisements of Medicare Supplement Insurance Methods of Disclosure of Required Information Form and Content of Advertisements Advertisements of Benefits, Losses Covered or Premiums Payable Necessity for Disclosing Policy Provisions Relating to Renewability, Cancellability and Termination Testimonials or Endorsements by Third Parties Use of Statistics 0 Disparaging Comparisons and Statements Section: 110 Jurisdictional Licensing and status of Insurer Section: 120 Identity of Insurer Section: 130 Group or Quasi-Group Implications Section: 140 Introductory, Initial or Special Offers Section: 150 Statements About an Insurer Section: 160 Enforcement Procedures Section: 170 Filing Requirements for Advertising APPENDIX A Interpretive Guidelines Illustration A Guideline to Section Illustration B Guideline to Section (a)(1) Illustration C Guideline to Section (I) Illustration D Guideline to Section Illustration E Guideline to Section (a) Illustration F Guideline to Section (b) Illustration G Guideline to Section (a)(1)

31 Illustration H Guideline to Section (a)(2) Illustration I Guideline to Section (a)(4) Illustration J Guideline to Section (a)(5) Illustration K Guideline to Section (b)(1) Illustration L Guideline to Section (c)(1) Illustration M Guideline to Section (c)(2) Illustration N Guideline to Section Illustration O Guideline to Section (a) Illustration P Guideline to Section (c) Illustration Q Guideline to Section (a) Illustration R Guideline to section (c) Illustration S Guideline to Section Illustration T Guideline to Section (a) Illustration U Guideline to Section (b) Illustration V Guideline to Section (a)(1) Illustration W Guideline to section (a)(2) Illustration X Guideline to Section (a)(4) Illustration Y Guideline to Section Part #: 2011 Transitional Requirements for the Conversion of Medicare Supplement Insurance Benefits and Premiums to Conform to Medicare Program Revisions Repealed at 19 Ill. Reg , effective November 6, 1995 Part #: 2012 Traditional Long-Term Care Insurance Section: 55 Section: 62 Section: 64 Section: 65 Section: 83 Section: 86 Section: 95 0 Section: 110 Section: 112 Section: 115 Section: 120 Section: 121 and Scope Policy Policy Practices and Provisions Unintentional Lapse Required Disclosure Provisions Required Disclosure of Rating Practices to Consumers Initial Filing Requirements Prohibition Against Post Claims Underwriting Minimum Standards for Home Health and Community Care Benefits in Long-Term Care Insurance Policies Requirement to Offer Inflation Protection Incontestability Period Nonforfeiture Benefits Requirements for Application Forms and Replacement Coverage Reporting Requirements Filing Requirement Loss Ratio Premium Rate Schedule Increases Filing Requirements for Advertising Reserve Standards Producer Training Requirements

32 Section: 122 Section: 123 Section: 124 Section: 125 Section: 126 Section: 127 Section: 128 Section: 129 Section: 130 Section: 140 Section: 145 Section: 150 EXHIBIT A EXHIBIT B EXHIBIT C EXHIBIT D EXHIBIT E EXHIBIT F EXHIBIT G EXHIBIT H EXHIBIT I EXHIBIT J EXHIBIT K EXHIBIT L EXHIBIT M Standards for Marketing Suitability Prohibition Against Preexisting Conditions and Probationary Periods in Replacement Policies or Certificates (Renumbered) Availability of New Services or Providers Right to Reduce Coverage and Lower Premiums (Renumbered) Nonforfeiture Benefit Requirement Standards for Benefit Triggers Additional Standards for Benefit Triggers for Qualified Long-Term Care Standard Format Outline of Coverage Requirements Requirement to Deliver Shopper's Guide Long Term Care Insurance Partnership Program Penalties Replacement Notice for Other Than Direct Response Solicitations Replacement Notice for Direct Response Solicitations Standard Format Outline of Coverage Rescission Reporting Format Class of Insurance Accident and Health Long-Term Care Insurance Personal Worksheet Things You Should Know Before You Buy Traditional Long- Term Care Insurance Long-Term Care Insurance Suitability Letter Claims Denial Reporting Format Potential Rate Increase Disclosure Replacement and Lapse Reporting Form Long Term Care Insurance Partnership Notice Long Term Care Insurance Partnership Form Part #: 2013 Group Coverage Discontinuance and Replacement Scope Effective Date of Discontinuance for Non-Payment of Premium Requirements for Notice of Discontinuance Extension of Benefits Continuance of Coverage in Situations Involving Replacement of One Group Contract by Another Part #: 2014 Small Employer Group Health Insurance Repealed at 38 Ill. Reg. 2211, effective January 2, 2014 Part #: 2015 Infertility Coverage

33 Section: 35 Section: 43 and Scope Benefit Limitation/Oocyte Retrieval Limitation Oocyte Retrieval Limitation (Repealed) Donor Expenses Minimum Benefit Standards Permissible Exclusions Part #: 2016 Mastectomies and Scope Required Coverage for Reconstructive Surgery Following Mastectomies Notice of Coverage Prohibitions Provider Reimbursement Part #: 2017 Uniform Medical Claim and Billing Forms and Scope Requirements for Use of HCFA Form 1500 Requirements for Use of UB92/HCFA Form 1450 Requirements for Use of J510/J511/J512 Form General Provisions Part #: 2018 Long-Term Care Partnership Insurance Repealed at 32 Ill. Reg. 7715, effective May 5, 2008 Part #: 2019 Minimum Benefit Standards for Diabetes Coverage and Scope Minimum Benefit Standards Chapter I Department of Insurance Sub Chapter z Accident and Health Insurance Part #: 2020 Reimbursement Provision Contained in Individual and Group Accident and Health Policies (Recodification at 39 Ill. Reg. 5898) Scope Reimbursement Provision

34 0 Subrogation Provision Effective Date for Existing Policies Part #: 2021 Group Health Policy Mandate To Nonresident Certificate Holders Not Employed in Illinois (Recodification at 39 Ill. Reg. 5900) and Scope Filing and Disclosure Requirements Out-of-State Certificate Policy Forms That Require Illinois Approval Part #: 2025 Illinois Health Insurance Portability and Accountability Standards 0 and Scope Notice Requirement to the Division Uniform Modification of Coverage Uniform Termination of Coverage Discontinuance of a Market Rescission in the Small Group Market Certificate of Credible Coverage Penalty Provisions Part #: 2026 Premium Increase Justification and Reporting Section: 5 and Scope Rate Increases Subject to Review Unreasonable rate Increases Submission of Rate Filing Justification Determination of an Unreasonable Rate Increase Part #: 2028 Confidentiality Protocols for Request and Receipt of Claim Information by Alternative Means (Amended at 39 Ill. Reg. 4069, effective March 9, 2015) Section: 5 Confidentiality Protocol Notice Part #: 2030 Standard Health Applications (Repealed at 39 Ill. Reg. 8282, effective June 1, 2015) (Repealed) (Repealed) Illinois Standard Health Applications (Repealed)

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