AGENT OPT-OUT FORM
LEGAL & GENERAL AMERICA'S
2019 ACCIDENTAL DEATH INSURANCE
CUSTOMER MARKETING CAMPAIGN
To opt-out of this specific campaign, please enter the information requested below then click the “submit” button before August 13, 20197. We will send a confirmation email to the email address that you provide. Thank you.
Subject to policy terms & conditions. The coverage amount under all Accidental Death Insurance policies issued to you by William Penn Life Insurance Company may not exceed $1,000,000 regardless of offers made. The total amount of coverage under all insurance policies issued to you by William Penn Life Insurance Company, including Accidental Death Insurance, may not exceed $2,000,000 under certain circumstances.
Legal & General America life insurance products are underwritten and issued by Banner Life Insurance Company, Urbana, MD and William Penn Life Insurance Company of New York, Valley Stream, NY. Banner products are distributed in 49 states and in D.C. Banner does not solicit business in NY. William Penn products are available exclusively in New York. The Accidental Death insurance product is Banner Life Insurance Company. Policy form # ACD (1-17) state variations, or in NY William Penn Life Insurance Company, Policy form #ACD-WP (2-19). Issue ages 20-65 and renewable to age 75. Two year contestability and suicide provisions apply. All benefits payable are subject to exclusions and limitations and may vary by state. Please refer to policy for terms and conditions. Not available in all states. For the in-force life insurance policy referenced, refer to your policy for full disclosure of benefits and limitations. [19-174]