Application Kit Updates

Application kits have been updated and they will be available for ordering on June 17th.  Changes made are listed under each kit below.

LSW Life Insurance Application Kits. Each app kit will have the revision date of (0619).   

• 4506-T (March 2019) – Request for Transcript of Tax Return
• 8121Instr(0619) – Application Kit Instructions

NL Life Insurance Application Kits. Each app kit will have the revision date of (0619).  NOTE:  With exception to NY and CA, the form numbers on the application kits have been changed to read 8121xxK NL (where xx is the state code).

• 4506-T (March 2019) – Request for Transcript of Tax Return
• 8121Instr(0619) – Application Kit Instructions
• 9212CAInstr(0619) – Application Kit Instructions

• 9212NYInstr(0619) – New York Application Instructions
• Added 8678(0519) – Authorization to Disclose Policy Information (NY only)
• Removed 6251MT(0401) – Summary of Premium Adjustment Provision (MT only)
• Removed 6251(1294) – Summary of Premium Adjustment Provision (NY and TX only)
• Removed 6251A(1294) – Summary of Premium Adjustment Provision – YRT (TX only)
• Removed 6251NYA(1294) – Summary of Premium Adjustment Provision – YRT (NY only)

New York Policy Change Application Kit -1441NY(0619)K, Cat. No. 43066

• Removed 6251(1294) – Summary of Premium Adjustment Provision
• Removed 6251NYA(1294) – Summary of Premium Adjustment Provision – YRT

New York Term Conversion Application Kit -20007NY(0619)K , Cat. No. 52255

• Removed 6251(1294) – Summary of Premium Adjustment Provision
• Removed 6251NYA(1294) – Summary of Premium Adjustment Provision – YRT

TC108292(0619)1