50 Ill. Adm. Code 917.EXHIBIT B
B Notice Regarding Proposed Replacement of Life Insurance or Annuity
Section 917
Section 917.EXHIBIT B Notice
Regarding Proposed Replacement of Life Insurance or Annuity
(Name of Existing Insurer)
(Address)
(City, State, Zip Code )
(Salutation)
You are herewith given notice
that we are in receipt of application(s) for life insurance or annuity(ies) for
an individual presently insured with your company.
Identification
Name of Insured
Address
Contract Number
" "
" "
" "
This notice is given pursuant to
50 Ill. Adm. Code 917.70(c)
(Insurance Producer's Signature)
(Closure)