Variable Life Insurance Funds

Dollar Diversity Balanced Fund (USD Balanced)

Purchase: 1.22899

Redemption: 1.21670

as of May. 14, 2021
Dollar Diversity Growth Fund (USD Equity)

Purchase: 1.23677

Redemption: 1.22440

as of May. 14, 2021
Dollar Conservative Fund (Fixed Income)

Purchase: 1.15828

Redemption: 1.14670

as of May. 14, 2021
Dollar Standby Fund (Money Market)

Purchase: 1.05160

Redemption: 1.05160

as of May. 14, 2021
Peso Moderate Fund (Balanced)

Purchase: 0.96202

Redemption: 0.95240

as of May. 14, 2021
Peso Dragon Equity Fund (Equity)

Purchase: 0.99576

Redemption: 0.98580

as of May. 14, 2021
Peso Equity Index Fund (Equity)

Purchase: 0.84535

Redemption: 0.83690

as of May. 14, 2021
Peso Aggressive Fund (Equity)

Purchase: 0.73192

Redemption: 0.72460

as of May. 14, 2021
Peso Conservative Fund (Fixed Income)

Purchase: 1.15818

Redemption: 1.14660

as of May. 14, 2021
Peso Standby Fund (Money Market)

Purchase: 1.09120

Redemption: 1.09120

as of May. 14, 2021
Natixis Best of U.S. Sectors Fund

Purchase: N/A

Redemption: 1,100.60000

as of May. 11, 2021
Global Brands Select Fund

Purchase: N/A

Redemption: 1,371.70000

as of May. 11, 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

Life Insurance Policy Disbursement Request Form

Payment Instruction 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