Term Conversion & Contractual Exchange Reference for The Hartford Products



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Term Conversion & Contractual Exchange Reference for The Hartford Products CREATED EXCLUSIVELY FOR FINANCIAL PROFESSIONALS EFFECTIVE OCTOBER 7, 2013 This document provides an overview and requirements for life insurance products offered through The Hartford that are available for term conversions. Products and programs may change without notice. CONTACT INFORMATION: TO VERIFY ELIGIBILITY TO CONVERT OR IF CONVERTING TO AN AVAILABLE PRODUCT FROM THE HARTFORD: Life Customer Service Telephone Number The Hartford s Variable Life Products 1-800-231-5453 The Hartford s Traditional Life Products 1-800-243-5433 Fortis Life Insurance - All Life Products 1-800-800-2000, extension 13028 Email: lifeservice@prudential.com Address: Policy Change Unit P.O. Box 64284 St. Paul MN 55164-0284 Please contact Life Customer Service for questions regarding: eligibility to convert, exceptions, additional approvals by Home Office, products not covered by this conversion reference document, processing timing, commissions, etc. IF CONVERTING TO AN AVAILABLE PRUDENTIAL PRODUCT: Change and Term Conversion Team: 1-904-313-3550 Email: prutermconversions@prudential.com Address: Prudential Financial Change and Term Conversion Team Ste. DTY 2101 Welsh Road Dresher, PA 19025 TABLE OF CONTENTS: Term Product Conversion Availability...2 Rider Conversion Availability... 3 Conversions That Require Evidence of Insurability... 4 Partial Term Conversions... 5 Request for Conversion... 5 LifeAccess Accelerated Benefit Rider Conversion Program/Term Conversion Credits...6 Converting Term Policies to Last Survivor Permanent Policies... 6 Contractually Required Exchange Options... 7 0250082-00001-00 Ed. 09/2013 Exp. 03/26/2015 1

TERM PRODUCT CONVERSION AVAILABILITY: TERM PRODUCT PERIOD OF CONVERSION AVAILABILITY (STIPULATED ON POLICY SPECIFICATION PAGES) PERMANENT PRODUCTS AVAILABLE Annual Renewable Term To age 70 (age 65 in NY) Hartford Bicentennial UL 5 Year Term 10 Year Term Stag Simple Term Stag Simple Term + Policy years 1-9 and prior to age 70 (age 65 in New York) Freedom 2013* (based on state availability) Hartford Founders Plus UL (Prudential) VUL Protector Stag Custom Term 20 GL Stag Custom Term 10 Stag Custom Term 20 Policy years 1-5; Extension of Conversion Rider extends the conversion period (but not term conversion credit) availability to 10 years MiddleAmerica T20 Term Any time prior to age 81 PruLife Custom Premier II PruLife Universal Plus PruLife Index Advantage UL PruLife Universal Protector* Hartford Term 10, 15, 20, 30 Policies issued 9/9/2007 and prior Hartford Term 10, 15, 20, 30 Policies issued beginning 9/10/2007 Hartford Bicentennial Term 10, 15, 20, 30 Time/Union Security Term Products Policy years 1-10, prior to age 70 Lesser of the product guaranteed level premium period or 20 years, prior to age 70 Within contractual time period * Hartford Bicentennial UL Freedom 2013 and PruLife Universal Protector are available for non-underwritten conversion from Hartford Term and Hartford Bicentennial Term 10, 15, 20, 30 only and only during the 1st 5 years of the term policy. After the first 5 years, full underwriting applies in all cases through the remainder of the conversion period. Note: Depending on the product, either Age Nearest Birthday (ANB) and Age Last Birthday (ALB) may be used for determining insurance age. Upon Conversion, insurance age could change from the resulting shift in basis (ANB to ALB, or vice versa). 2

RIDER CONVERSION AVAILABILITY: RIDER PRODUCT AVAILABLE PERIOD PERMANENT POLICY COVERAGE AMOUNT PERMANENT PRODUCTS AVAILABLE The Hartford s Children s Insurance Refer to rider language for coverage amount and available period details. Refer to rider language for conversion information on rider forms not listed. At rider expiry, for the following rider forms: LA-1005 HL-12390 HLA-12265 At rider coverage termination or at marriage, forms: LA-1192(02) HL-15852(02) Upon termination of insured child status, forms: LA-1278(06) HL-19211(06) Up to 5 times rider coverage amount, for the following rider forms: LA-1005 HL-12390 HLA-12265 Minimum $25,000, and up to 5 times rider coverage amount, for the following rider forms: LA-1192(02) HL-15852(02) LA-1278(06) HL-19211(06) Hartford Founders Plus UL (Prudential) VUL Protector PruLife Custom Premier II PruLife Universal Plus PruLife Index Advantage UL The Hartford s Term Insurance Rider (including Term Insurance Rider for an Other Insured) Refer to rider language for conversion information on forms not listed. 1st 9 years, prior to age 71, for the following rider forms: LA-1156 LA-1202(02) LA-1320(08) HL-15855(02) HL-19261(08) While rider is in force, for the following rider forms: HL-15477(99) Up to term rider amount Time/Union Security Term Riders* Within contractual time period Up to term rider amount John Alden Term Riders Within contractual time period Up to term rider amount The Hartford s Single Life Yearly Renewable Term No conversions allowed No conversions allowed The Hartford s Last Survivor Yearly Renewable Term Life 1st 5 years (May convert to base anytime) Up to term rider amount Hartford Joint Founders Plus UL Note: Depending on the product, either Age Nearest Birthday (ANB) and Age Last Birthday (ALB) may be used for determining insurance age. Upon Conversion, insurance age could change from the resulting shift in basis (ANB to ALB, or vice versa). * Other Insured Rider and Additional Insured Rider 3

CONVERSIONS THAT REQUIRE EVIDENCE OF INSURABILITY The following types of term conversions will require evidence of insurability and the use of a standard application. Risk class is determined upon underwriting. 4Any conversion to Hartford Bicentennial UL Freedom 2013 or PruLife Universal Protector. 4 Exception: Hartford Term and Hartford Bicentennial Term policies that convert to these products will not require underwriting for the 1st 5 years of the term policy. 4Any conversion that includes a face increase, or a change to a policy with Return of Premium death benefit option 4Any conversion that involves the addition of any riders, other than Living Needs Benefit 4Any conversion where a better underwriting class than the equivalent permanent risk class is desired. If underwriting determines a less favorable class than on the term policy, the permanent risk class that is equivalent to the current term risk class will be used for the permanent plan. When a new permanent policy is approved, a new contestable period begins. TERM CONVERSION RISK CLASS EQUIVALENCY CHART TERM PRODUCT Annual Renewable Term, 5 Year Term, 10 Year Term Stag Simple Term Stag Simple Term + Stag Custom Term 10 Stag Custom Term 20 Stag Custom Term 20GL Hartford Term 10,15,20,30 Hartford Bicentennial Term 10,15,20,30 Time/Union Security Term Products Children s Insurance Rider TERM RISK CLASS THE HARTFORD UNDERWRITING CATEGORIES Preferred (non-smoker) Non-Smoker Standard (smoker) Standard Nicotine Smoker PRUDENTIAL UNDERWRITING CATEGORIES Elite or Premier Non-Nicotine Preferred Non-Nicotine Non-Smoker Plus Select Non-Nicotine Non-Smoker Premier Nicotine Preferred Nicotine Smoker Select Nicotine Standard Nicotine Smoker Preferred Plus Non-Nicotine Preferred Plus Non-Nicotine Preferred Non-Tobacco Preferred Non-Nicotine Preferred Non-Nicotine Non-Smoker Plus Non-Smoker Preferred Nicotine Preferred Nicotine Preferred Smoker Standard Nicotine Standard Nicotine Smoker Preferred Best Non-Nicotine Preferred Plus Non-Nicotine Preferred Best Preferred Plus Non-Nicotine Preferred Plus Non-Nicotine Preferred Non-Tobacco Preferred Non-Nicotine Preferred Non-Nicotine Non-Smoker Plus Non-Smoker Preferred Nicotine Preferred Nicotine Preferred Smoker Standard Nicotine Standard Nicotine Smoker Preferred Preferred Non Smoker Non Smoker Plus Non-Nicotine Standard Non-Smoker Non Smoker Nicotine Standard Smoker Smoker Standard Nicotine Note: Policies with substandard ratings, temporary extras, or permanent extras will be offered the nearest equivalent available rating. 4

PARTIAL TERM CONVERSIONS Partial term conversions are available beginning in policy year two. Requests for partial conversion in the first policy year will require surrender of the entire term policy, regardless of whether all or a portion of the face amount is converted. 4Term products prior to Hartford Term 10, 15, 20, 30: All or a portion of the term face amount can be converted to permanent life coverage during the conversion period. The contract provisions on older term products require that the entire term policy be surrendered if a conversion is processed, regardless of whether all or a portion of the face amount is converted. 4Hartford Term 10, 15, 20, 30, Hartford Bicentennial Term 10, 15, 20, 30 and Stag Custom 10 and 20: All or a portion of the term face amount can be converted to permanent life coverage during the conversion period. The term policy may remain in force as long as the policy is at least in its second year and the face amount after the decrease/conversion is at least $100,000. A partial (pro-rata) conversion credit will be applied if a credit is available. REQUEST FOR CONVERSION TO AN AVAILABLE PRODUCT FROM THE HARTFORD: An application and a signed sales illustration for the permanent policy are required for all conversions. 4If evidence of insurability is required, an application for Policy Change is used. 4If no evidence of insurability is required, a Request for Conversion Application is used. The Request for Conversion Application HL-19285 is approved for use in all three of The Hartford s issuing companies (Hartford Life Insurance Company, Hartford Life and Annuity Insurance Company, and Hartford Life and Accident Insurance Company). This form is available through usual supply channels and sample forms can be accessed through the Forms tab on Hartford Investor at www.hartfordinvestor.com. Click on Forms and then on Individual Life. Then choose a term product and state and then submit for inquiry or key in the form number HL-19285 for all form listings. Hartford Founders Plus UL Supplements Required If converting to Hartford Founders Plus UL without underwriting, use Hartford Founder Plus UL disclosure form #HL-19325 along with an account option selection form (HC-0297) Other requirements may be necessary based on conversion circumstances. REQUEST FOR CONVERSION TO AN AVAILABLE PRUDENTIAL PRODUCT: An Application for Life Insurance (96200), Agents Report (114120), a signed sales illustration and any applicable replacement forms for the permanent policy are required for all conversions. If no evidence of insurability is required: 4 Application for Life Insurance form - complete sections A, B, C, D, E, F, H 4 Agents Report form complete sections A, B, D, H (FL or NV only), I If evidence of insurability is required: 4 Application for Life Insurance form - all sections 4 Agents Report form all sections Please include a coversheet indicating this is a conversion from an existing policy from The Hartford, along with the policy number and instructions for handling excess premium. For a conversion paperwork package, please contact the Change and Term Conversion Team (see page 2) or visit PruXpress. For regulatory purposes, all The Hartford to Prudential transactions must be treated as replacements. All related paperwork must be completed, including NY Reg 60 forms. Other requirements may be necessary based on conversion circumstances. 5

LIFEACCESS ACCELERATED BENEFIT RIDER CONVERSION PROGRAM LifeAccess Accelerated Benefit Rider Conversion Program is not available for The Hartford to Prudential conversions. TERM CONVERSION CREDITS Term policy owners who convert to an available permanent policy of The Hartford or Prudential may receive a term conversion credit, applied to the permanent plan s first-year premium. The maximum credits are as follows: TERM PRODUCT Annual Renewable Term (sex distinct version) 5 Year Term 1 10 Year Term 1 Stag Simple Term + 1 Stag Custom Term 20GL 1 TERM PRODUCT POLICY DATES All dates, except Annual Renewable Term through 10/2/2006 Through 06/30/2003 MAXIMUM CREDIT 100% of cumulative term premiums paid, to a maximum of 50% of the permanent plan s fully commissionable premium 2 100% of cumulative term premiums paid, to a maximum of 50% of the permanent plan s fully commissionable premium 2 Stag Simple Term 1 All dates 100% of cumulative term premiums paid, to a maximum of 100% of the permanent plan s fully commissionable premium 2 Stag Custom Term 10 1 Stag Custom Term 20 1 Through 06/30/2003 Stag Custom Term 10 1 Stag Custom Term 20 1 Stag Custom Term 20GL 1 Hartford Term 10, 15, 20, 30 Annual Renewable Term (unisex) 1 Hartford Bicentennial Term 10, 15, 20, 30 Beginning 7/1/2003 All dates 1 Term conversion credits are not available for policies issued in New York. 2 Credits apply only if converted within years 1-5. Credits apply only if converted within years 1-3. 100% of cumulative term premiums paid, to a maximum of 50% of the permanent plan s fully commissionable premium Credits apply only if converted within years 1-5. 100% of last 12 months term premiums paid, including premiums for riders/benefits. 2 TERM CONVERSION CREDIT REMINDERS Term conversion credits are not guaranteed and may change from time to time. However, the applicable credit is set at the time the term policy is placed. The permanent plan s fully commissionable target premium is reduced by the amount of the credit and commissions are not paid on the credit. For Term conversion credits that are capped at 50% of permanent policy fully commissionable premium, we use the permanent policy fully commissionable premium for the converted amount. Any increases in face amount are not included in the cap on the credit. Except for Hartford Term 10, 15, 20, 30 and Hartford Bicentennial Term 10, 15, 20, 30, term conversion credits are not available for conversion of term policies issued in New York. Term conversion credits are not available for conversions of child or term insurance riders to permanent policies. CONVERTING TERM POLICIES TO LAST SURVIVOR POLICIES Except where contractually required, conversion of term policies from The Hartford to Prudential survivorship policies is not allowed. 6

CONTRACTUALLY REQUIRED EXCHANGE OPTIONS: PRODUCT/RIDER CONTRACT FILING NUMBERS PERIOD OF TIME EXCHANGE IS AVAILABLE PRODUCT(S) OFFERED IN EXCHANGE OTHER PROVISIONS Conversion Option Rider, attached to all Hartford ExtraOrdinary Whole Life (HEWL) policies issued on or after October 1, 2010 HL-19254(07): NY LA-1313(07): all other states Policy years 1-10, prior to insured age 70 Stag Whole Life product LA-1215(03) Policy years 1-4 Last Survivor Exchange Option Rider ( policy Split Option ), attached to Joint UL and Joint VUL policies Conversion Option Rider, attached to Stag Whole Life Policies HL-15927(05): NY LA-1266(05): all other states LA-1216(03) Rev (not available in NY) Not specified Policy years 8-10, prior to insured age 70 Hartford Bicentennial UL Freedom 2013 (Based on state availability) Hartford Founders Plus UL (Prudential) VUL Protector PruLife Custom Premier II PruLife Universal Plus PruLife Index Advantage UL PruLife Universal Protector Not available to policies issued in connection with a group conversion. No other provisions Events of exercise include divorce, dissolution of business, and certain changes in tax law. Underwriting required on the additional life, if exchanged to a last survivor policy. Guaranteed Issue Option Rider allows new face to be increased up to 2x original face. 2006 version also offers exchange to a joint policy. VUL Products issued in CT, GA, MD, NC: Hartford Leaders VUL Liberty Hartford Leaders VUL Liberty 2012 Hartford Leaders VUL Legacy Hartford Leaders VUL Joint Legacy II LA-1240(03) HL-15898(03) LA-1375(12) HL-19348(12) LA-1238(03) HL-15894(03) LA-1287(06) HL-19217(06) First 18 policy months Hartford Bicentennial UL Freedom 2013 (Based on state availability) Hartford Founders Plus UL PruLife Universal Plus PruLife Index Advantage UL PruLife Universal Protector New policy is issued with the same issue age / issue date as the original policy. 7

CONTRACTUALLY REQUIRED EXCHANGE OPTIONS (CONTINUED): RISK CLASS EQUIVALENCY CHART (PERMANENT CONVERSION) THE HARTFORD PERMANENT PRODUCT THE HARTFORD PRUDENTIAL Stag Whole Life Conversion Option Rider (attached to Stag Whole Life Policies) Hartford Leaders VUL Liberty Hartford Leaders VUL Liberty 2012 Hartford Leaders VUL Legacy Hartford Leaders VUL Joint Legacy II Last Survivor Exchange Option Rider ( policy Split Option attached to Joint UL and Joint VUL policies) Conversion Option Rider (attached to all Hartford ExtraOrdinary Whole Life [HEWL] policies issued after 10/1/2010) Preferred Non-Nicotine Preferred Nicotine Standard Nicotine Preferred Plus Non-Nicotine Preferred Non-Nicotine Preferred Nicotine Standard Nicotine Non Smoker Plus Non Smoker Preferred Smoker Smoker Preferred Non Tobacco Non Smoker Plus Non Smoker Preferred Smoker Smoker Prudential Financial, Inc. acquired through a reinsurance transaction the individual life insurance business of The Hartford Financial Services Group, Inc. (The Hartford), effective January 2, 2013. Insurance policies offered as a result of this transaction are administered by The Prudential Insurance Company of America, but are issued and backed by the claims paying ability of the issuing companies of Hartford Life Insurance Company (HLI)(New York) and Hartford Life and Annuity Insurance Company (HLA) (outside of New York), Simsbury, CT. The mailing address for both issuers is P.O. Box 2999, Hartford, CT 06104-2999. These issuing companies are subsidiaries of The Hartford. The Hartford variable life insurance products are distributed by Hartford Equity Sales Company, Inc. (HESCO), a broker/dealer affiliate of The Hartford. Life insurance policies issued by Union Security Insurance Company and Time Insurance Company, formerly administered by The Hartford, are now administered by Prudential Insurance Company of America. The Hartford, the Stag logo, and Hartford-inclusive names are used under a license with Hartford Fire Insurance Company, a subsidiary of The Hartford. Annual Renewable Term - HLI policy form #HL10261(06)U. HLA policy form #ILA1018(06)U and may include state abbreviations. Features may vary by state. 5 Year Term policy form number is ILA-1018 when issued outside of New York; in New York: HL-10261. 10 Year Term policy form number is ILA-1018 when issued outside of New York; in New York: HL-10261. Stag Custom 10 policy form number is LA-1161(00) when issued outside of New York; in New York: HL-15506(03). Stag Custom 20 policy form number is LA-1162(00) when issued outside of New York; in New York: HL-15507(03). Stag Custom 20GL policy form number is LA-1163(00) when issued outside of New York; in New York: HL-15890(03). Hartford Term 10, 15, 20, 30 policy form number is LA-1276(06) when issued outside of New York; In New York: HL-19209(06)(NY). Hartford Bicentennial Term 10, 15, 20, 30 policy form number is LA-1276(06) when issued outside of New York; In New York: HL-19209(06)(NY). In certain states, the policy form number may be followed by a state abbreviation. Not all product features are available in all states. The prospectus and contract will reflect the appropriate issuing company. 8

TERM CONVERSION & CONTRACTUAL EXCHANGE REFERENCE Hartford Bicentennial UL Freedom 2013 is a Single Life Flexible Premium Universal Life insurance policy. When issued outside of New York by Hartford Life and Annuity Insurance Company, the policy form number is LA-1382(12), Interstate Compact policy form number is ICC12-1382. When issued in New York by Hartford Life Insurance Company, the policy form number is HL-19357(12)NY. Hartford Founders Plus UL is a Flexible Premium Universal Life insurance policy. When issued outside of New York by Hartford Life and Annuity Insurance Company, the policy form number is LA-1366(11), Interstate Compact policy form number is ICC11-1366. When issued in New York by Hartford Life Insurance Company, the policy form number is HL-19323(11)NY. In certain states, the policy form number may be followed by a state abbreviation. Not all product features are available in all states. Hartford Joint Founders Plus UL is a last survivor flexible premium universal life insurance policy. HLI policy form #HL-19355(12)NY. HLA Interstate Compact policy form #ICC12-1379. HLA non-interstate Compact policy form #LA-1379(12) and may include state abbreviations. Features may vary by state. Hartford Leaders VUL Legacy is a flexible premium variable universal life insurance policy. HLI policy form #HL-15894(03) (NY). HLA policy form #LA-1238(03) and may include state abbreviations. Features may vary by state. Hartford Leaders VUL Joint Legacy II is a last survivor flexible premium variable universal life insurance policy. HLI policy form #HL-19217(06)(NY). HLA policy form #LA-1287(06) and may include state abbreviations. Features may vary by state. Hartford Leaders VUL Liberty 2012 is a flexible premium variable universal life insurance policy. Interstate compact policy form #ICC12-1375. HLI policy form #HL-19348(12)(NY). HLA policy form #LA-1375(12) and may include state abbreviations. Features may vary by state. Hartford Leaders VUL Liberty is a flexible premium variable universal life insurance policy. HLI policy form #HL-15898(03) (NY). HLA policy form #LA-1240(03) and may include state abbreviations. Features may vary by state. Prudential insurance is issued by The Prudential Insurance Company of America and its affiliates, Newark, NJ. Prudential Financial, Inc. and its affiliates (Prudential) are not affiliates of The Hartford Financial Services Group, Inc., or its subsidiaries. Prudential is not responsible for the financial condition or contractual obligations of The Hartford issuing companies. Prudential, the Prudential logo, and the Rock symbol are service marks of Prudential Financial, Inc. and its related entities. PruLife Custom Premier II, PruLife Universal Protector, PruLife SUL Protector, VUL Protector, PruLife Index Advantage UL, and PruLife Universal Plus are issued by Pruco Life Insurance Company except in New York, where, if available, they are issued by Pruco Life Insurance Company of New Jersey. Both Pruco Life companies are Prudential Financial companies and are located at 213 Washington Street, Newark, NJ 07102-2992. Each is solely responsible for its own financial condition and contractual obligations. Variable life policies are offered through Pruco Securities, LLC. Sale of a variable universal life insurance product requires the use of the appropriate and current product prospectus and underlying fund prospectus and appropriate product information, which can be obtained through your regular supply channel or by logging on to www.hartfordinvestor.com. The prospectuses contain detailed information including investment objectives, risks, and charges and expenses of variable universal life insurance and its underlying funds. Please have your clients read the prospectuses carefully before investing. 0250082-00001-00 Ed. 09/2013 Exp. 03/26/2015 9