Variable Life Insurance Funds

Dollar Diversity Balanced Fund (USD Balanced)

Purchase: 1.24374

Redemption: 1.23130

as of Jan. 20, 2021
Dollar Diversity Growth Fund (USD Equity)

Purchase: 1.21626

Redemption: 1.20410

as of Jan. 20, 2021
Dollar Conservative Fund (Fixed Income)

Purchase: 1.19495

Redemption: 1.18300

as of Jan. 20, 2021
Dollar Standby Fund (Money Market)

Purchase: 1.05690

Redemption: 1.05690

as of Jan. 20, 2021
Peso Moderate Fund (Balanced)

Purchase: 1.03404

Redemption: 1.02370

as of Jan. 20, 2021
Peso Dragon Equity Fund (Equity)

Purchase: 1.12980

Redemption: 1.11850

as of Jan. 20, 2021
Peso Equity Index Fund (Equity)

Purchase: 0.96141

Redemption: 0.95180

as of Jan. 20, 2021
Peso Aggressive Fund (Equity)

Purchase: 0.82313

Redemption: 0.81490

as of Jan. 20, 2021
Peso Conservative Fund (Fixed Income)

Purchase: 1.20566

Redemption: 1.19360

as of Jan. 20, 2021
Peso Standby Fund (Money Market)

Purchase: 1.09170

Redemption: 1.09170

as of Jan. 20, 2021
Natixis Best of U.S. Sectors Fund

Purchase: N/A

Redemption: 1,074.20000

as of Jan. 19, 2021
Global Brands Select Fund

Purchase: N/A

Redemption: 1,305.10000

as of Jan. 19, 2021

Customer Forms

Claim Forms

Death Claim (for Individual Life policy claimants)

Checklist-Death Claim contestable

Checklist-Death Claim Incontestable

Checklist with Minor-Death Claim

Death Claim (for Individual Life and MRI policy claimants)

Claimant's Statement-Death Claim P1

Claimant's Statement-Death Claim P2

Attending Physicians Statement-Death Claim

Claims FATCA Certification

Claims FATCA Form Personal

Death Claim (for MRI policy claimants)

Checklist-Death Claim (Credit Life)

Disability Claim

Checklist-Disability Claim

Claimant's Statement-Disability Claim

Attending Physicians Statement-Disability Claim

Claims FATCA Certification

Claims FATCA Form Personal

Dread Disease / Critical Illness Claim

Checklist-Dread Disease Claim

Claimant's Statement-Dread Disease Claim

Attending Physicians Statement-Dread Disease Claim

Claims FATCA Certification

Claims FATCA Form Personal

Hospital Income Benefit

Checklist-Hospital Income Benefit Claim

Claimant's Statement-Hospital Income Benefit Claim

Attending Physicians Statement-Hospital Income Benefit Claim

Claims FATCA Certification

Claims FATCA Form Personal

Accident Benefit

Checklist-Accident Claim

Claimant's Statement-Accident Claim

Attending Physicians Statement-Accident Claim

Claims FATCA Certification

Claims FATCA Form Personal

Terminal Illness Benefit

2019-09 Checklist-Terminal Illness Claim

Claimant's Statement-Terminal Illness Claim

Attending Physicians Statement-Terminal Illness Claim

Claims FATCA Certification

Claims FATCA Form Personal

Variable Life Policy Forms

VL Policy Surrender Form

Top-Up Request Form VL Policy

VL Policy Fund Allocation Form

VL Policy Fund Switch Form

VL Policy Top-Up Application Form Guaranteed Acceptance

Premium Payment Forms

BDO Auto-Debit Form

Authorization to Charge RPS Form

Policy Reinstatement Forms

COVID Questionnaire

Application For Reinstatement

Certificate of Insurability Form

Policy Loan/Surrender Request Forms

Life Insurance Policy Loan Application Form

Life Insurance Policy Surrender Request Form

Policy Disbursement Forms

Direct Credit Facility Form

Life Insurance Policy Benefit Instruction Form

Credit Instruction Form

Life Insurance Policy Disbursement Request Form

Payment Instruction Form

ACA Enrollment Form

Policy Change Forms

Policy Amendment Form

Policy Amendment Rider Addition/Deletion/Modification

Other Forms

Affidavit of Loss And Undertaking

Application for Hospitalization Income Rider (HIR)

Assignment of Life Insurance Policy