Requirement Info
2 Special Notice of Information Practice form required with all applications. I573-NWB-151 R10-17
3 Spouse app that is BOTH SI (over MGI offer) AND OVER $50,000 requires dependent acknowledgement and authorization form.
4 CO, FL, MA, MN, NH, NC, NY, TX, VT, WA - state unique naming convention for LTC rider.See State Reference Chart for details (no pre-x MA NY TX)
15 CT, NY, TX and UT require ABR Disclosures at time of application for new issue plans - NO SIGNATURE REQUIRED.
19 CO, CT, MN, TX, VT, WA- The BRR (Benefit Restoration Rider) should be referred to as Additional Term Life Insurance Rider
26 Dependent benefit amounts(and riders) are limited to equal to or less than the amount on EE. EE must purchase or have Trustmark coverage inforce to purchase coverage on dependents
31 Child defined as under 25. Children over 22 can apply for Standard UL via Paper App. Children 25 & older & physically or mentally disabled & under P/O supe. elig. for Standard. UL via Paper App.


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