Common use of When Coverage Begins Clause in Contracts

When Coverage Begins. Temporary insurance under this agreement will begin on the date this agreement is signed but only if (1) Part I of the application has been completed on the same date or prior to the date of this agreement, (2) Health Questions 17 A, B and C are answered No, and (3) the full modal premium is collected. Received $ for Insurance on Signed this day of 19 To underwrite and service your insurance coverage, we need certain information about you. The amount and type of information we collect may vary depending on the amount and type of coverage you have applied for. In general, we will seek information about your age occupation, physical condition, health history, mode of living, activities, and other personal characteristics. We may collect information by letter, phone, or personal contact. Your application gives us most of the information we need to underwrite your coverage. We may, however, collect or verify information by contacting other parties. Typically, these are physicians, clinics or hospitals that have provided care for you (or family members proposed for coverage), other insurers to whom you may have applied for coverage, and MIB, Inc. Your agent will complete a report giving us information about your financial status and the purpose of the coverage. He or she may also collect information for updating and improving your insurance or investment program. To verify or add to information you have given us, we may request an investigative report from a consumer reporting agency. The report may include information about your character, habits residence, occupation, income, financial status, aviation and hazardous activities, and medical history including mental illness and the use of drugs or alcohol. Sources of this information may include your friends, neighbors, and associates. The consumer reporting agency may keep a copy of the report. They may disclose its contents to others for whom they perform similar services. If you request it, we will supply the name, address and telephone number of the nearest disclosing unit of the consumer reporting agency through which you may obtain a copy of the report. Instead of requesting a commercial consumer report, we may contact you directly to obtain information. Information regarding your insurability will be treated as confidential. The Company or its reinsurer(s) may, however, make a brief report to the MIB, Inc., a non-profit membership organization of life insurance companies, which operates an information exchange on behalf of its members. If you apply to another Bureau member company for life or health insurance coverage, or a claim for benefits is submitted to such a company, the Bureau, upon request will supply that Company with the information in its file. Upon receipt of a request from you, the Bureau will arrange disclosure of any information it may have in your file. (Medical information will be disclosed only to your attending physician.) If you question the accuracy of information in the Bureau’s file you may contact the Bureau and seek a correction in accordance with the procedures set forth in the Federal Fair Credit Reporting Act. The address of the Bureau’s information office is Post O▇▇▇▇▇ ▇▇▇ ▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇▇▇, ▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇, telephone number (▇▇▇) ▇▇▇-▇▇▇▇. The Company or its reinsurer(s) may also release information in its file to other life insurance companies to whom you may apply for life or health insurance, or to whom a claim for benefits may be submitted. CHECK: o Automatic or o Facultative *TRANSACTION TYPE APPLICATION TO: o PR or o Coinsurance (See Reserve Side) o Medical or o Non-Medical INSURED’S NAME SEX BIRTHDATE BIRTH RESIDENCE OCCUPATION ISSUE AGE AGE BASIS JOINT INSURED SEX BIRTHDATE BIRTH RESIDENCE OCCUPATION ISSUE AGE JOINT AGE ORIGINAL POLICY NO. ISSUE DATE DATE OF APP SHORT TERM FROM PLAN(S) RATE BOOKED RESERVE BASIS CEDING COMPANY > Check Reins. Prem. Type: o SMOKER o NON-SMOKER o AGGREGATE o OTHER PREF PREVIOUS IN FORCE $ $ $ $ o Aviation Exclusion Provision o Guaranteed Insurability Option PREVIOUS RETAINED o Increasing Insurance Rider o Term Insurance Dividend Option ISSUED THIS POLICY (Is option limited to cash value o Yes o No) [Redacted] o Check if Applicant has withheld MIB Authorization RETAINED THIS POLICY RATING, IF SUBSTANDARD REINSURED THIS CESSION Underwriting Papers: Check Appropriate Column Reason for submitting Facultatively: Attached o Over Automatic Limit o Medical Reasons Application o Financial Reasons o Other Non-Medical Examination HOS Describe: EKG (s)

When Coverage Begins. Temporary insurance under this agreement will begin on the date this agreement is signed but only if (1) Part I of the application has been completed on the same date or prior to the date of this agreement, (2) Health Questions 17 A, B and C are answered No, and (3) the full modal premium is collected. Received $ for Insurance on Signed this day of 19 To underwrite and service your insurance coverage, we need certain information about you. The amount and type of information we collect may vary depending on the amount and type of coverage you have applied for. In general, we will seek information about your age age, occupation, physical condition, health history, mode of living, activities, and other personal characteristics. We may collect information by letter, phone, or personal contact. Your application gives us most of the information we need to underwrite your coverage. We may, however, collect or verify information by contacting other parties. Typically, these are physicians, clinics or hospitals that have provided care for you (or family members proposed for coverage), other insurers to whom you may have applied for coverage, and MIB, Inc. Your agent will complete a report giving us information about your financial status and the purpose of the coverage. He or she may also collect information for updating and improving your insurance or investment program. To verify or add to information you have given us, we may request an investigative report from a consumer reporting agency. The report may include information about your character, habits habits, residence, occupation, income, financial status, aviation and hazardous activities, and medical history including mental illness and the use of drugs or alcohol. Sources of this information may include your friends, neighbors, and associates. The consumer reporting agency may keep a copy of the report. They may disclose its contents to others for whom they perform similar services. If you request it, we will supply the name, address and telephone number of the nearest disclosing unit of the consumer reporting agency through which you may obtain a copy of the report. Instead of requesting a commercial consumer report, we may contact you directly to obtain information. Information regarding your insurability will be treated as confidential. The Company or its reinsurer(s) may, however, make a brief report to the MIB, Inc., a non-profit membership organization Organization of life insurance companies, which operates an information exchange on behalf of its members. If you apply to another Bureau member company for life or health insurance coverage, or a claim for benefits is submitted to such a company, the Bureau, upon request will supply that Company with the information in its file. Upon receipt of a request from you, the Bureau will arrange disclosure of any information it may have in your file. (Medical information will be disclosed only to your attending physician.) If you question the accuracy of information in the Bureau’s file file, you may contact the Bureau and seek a correction in accordance with the procedures set forth in the Federal Fair Credit Reporting Act. The address of the Bureau’s information office is Post OP▇▇▇ ▇▇▇▇▇▇ ▇▇▇ ▇▇▇, . ▇▇▇▇▇ ▇▇▇▇▇▇▇, ▇▇▇▇▇▇, ▇▇▇▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇, telephone number (▇▇▇) ▇▇▇-▇▇▇▇. The Company or its reinsurer(s) may also release information in its file to other life insurance companies to whom you may apply for life or health insurance, or to whom a claim for benefits may be submitted. CHECK: o Automatic or o Facultative *TRANSACTION TYPE APPLICATION TO: o PR ILLEGIBLE or o Coinsurance (See Reserve Reverse Side) o Medical or o Non-Medical INSURED’S NAME SEX BIRTHDATE BIRTH RESIDENCE OCCUPATION ISSUE AGE AGE BASIS JOINT INSURED SEX BIRTHDATE BIRTH RESIDENCE OCCUPATION ISSUE AGE JOINT AGE ORIGINAL POLICY NO. ISSUE DATE DATE OF APP SHORT TERM FROM PLAN(S) RATE BOOKED RESERVE BASIS CEDING COMPANY > Check Reins. Prem. Type: o SMOKER o NON-SMOKER o AGGREGATE o OTHER PREF PREVIOUS IN FORCE $ $ $ $ o Aviation Exclusion Provision o Guaranteed Insurability Option PREVIOUS RETAINED o Increasing Insurance Rider o Term Insurance Dividend Option ISSUED THIS POLICY (Is option limited to cash value o Yes o No) [Redacted] o Check if Applicant has withheld MIB Authorization RETAINED THIS POLICY RATING, IF SUBSTANDARD REINSURED THIS CESSION Underwriting Papers: Check Appropriate Column Reason for submitting Facultatively: Attached o Over Automatic Limit o Medical Reasons Application o Financial Reasons o Other Non-Medical Examination HOS Describe: EKG (s)