31 Pa. Code § 83.55 - Delivery
(a) The Surrender
Comparison Index Disclosure shall be given as a separate document upon delivery
of the policy or earlier if requested by the life insurance applicant. If
requested earlier, the index disclosure shall be provided as soon as reasonably
possible.
(b) A disclosure that is
minimally satisfactory to the Insurance Department is set forth in Appendix B.
If the Appendix B disclosure will be used, a letter to that effect, prior to
use, is adequate notification to the Department. However, if a disclosure
different than Appendix B will be used, it must be filed with the Department
for review prior to use.
(c) The
Surrender Comparison Index Disclosure shall describe:
(1) The name, age and sex of the
insured.
(2) The face amount of the
policy.
(3) The descriptive title
of the policy, as "whole life, 20 year decreasing term, endowment at age 65,"
and so forth.
(4) The policy number
of policy.
(5) The 10-year
Surrender Index and 20-year Surrender Index per $1,000 of face amount of basic
insurance.
(6) If applicable, the
amount of the equivalent level annual dividend and termination dividend
reflected in each Index.
(7) If
applicable, the dividend scale on which the reflected dividends are
based.
(8) An explanation of the
purpose and use of the Surrender Comparison Index.
(d) Italicized material in the Appendix B
disclosure statement has been included for explanatory purposes only and may
not appear in copies of Appendix B used by insurers. Insurer's Appendix B form
should only indicate applicable terminology or designation in lieu of
italicized material.
Notes
This section cited in 31 Pa. Code § 90c.18 (relating to applications intended for use in mail order solicitations of life insurance).
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