Ill. Admin. Code tit. 50, pt. 917, exh. A - Notice Regarding Replacement of Life Insurance or Annuity

REPLACING YOUR LIFE INSURANCE OR ANNUITY?

Are you thinking about buying a new life insurance policy or annuity and discontinuing or changing an existing one? If you are, your decision could be a good one - or a mistake. You will not know for sure unless you make a careful comparison of your existing benefits and the proposed benefits.

Make sure you understand the facts. You should ask the insurance producer or company that sold you your existing policy to give you information about it.

Hear both sides before you decide. This way you can be sure you are making a decision that is in your best interest.

We are required by law to notify your existing company that you may be replacing their policy.

List below the identification
of policies which are involved
in the replacement transaction
_____________________________	____________________________
Contract Number	Insurance Producer's Signature
_____________________________	____________________________
Contract Number	Date
_____________________________
Contract Number
_____________________________
Contract Number

Notes

Ill. Admin. Code tit. 50, pt. 917, exh. A

Amended at 26 Ill. Reg. 16504, effective October 28, 2002