31 Pa. Code § 90c.23 - Applications of fraternal benefit societies

(a) Application form. The words "A Fraternal Benefit Society" appear in conspicuous type on the application form. This complies with § 89.102(d)(6) (relating to guidelines for approval of forms).

(b) Separation of applications. Membership and insurance applications are not combined. Questions relating to membership are not included in the insurance application. This complies with § 89.102(d)(1).

(c) Indication of membership. Each application, except an exchange or conversion application, for insurance on the life of an adult contains the following:

"Is the applicant a member of (

___

)?"

"Yes

___

No

___

"

"If not, apply for membership." This complies with § 89.102(d)(5).

(d) Signatures.

(1) Signatures on life insurance applications are as follows:

(i) If the proposed insured is an adult (18 or over), a member and is the applicant, the application for insurance contains:

"Proposed Insured's Signature

____________

"

(ii) If the proposed insured is an adult and not a member, the application for insurance contains:

"Proposed Insured's Signature

____________

"

"Member Applicant's Signature

____________

"

(iii) If the proposed insured is a child, the application for insurance contains:

"Adult Applicant's Signature

"

(2) This complies with § 89.102(d)(2)-(4).

Notes

31 Pa. Code § 90c.23