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Assurity Life Insurance Company


Reference: 
SEFL-128764357

Form W H1207 (DC) is an off-the-job disability income policy which provides monthly benefits while the insured is totally disabled due to a covered accident. 
Form R W1208 (DC) is an emergency accident rider that provides a lump sum payment if the insured person sustains an injury for which they receive emergency care as provided in the rider. The benefit from this rider is payable up to four times per calendar year. This rider is available with policy forms W H1206 (CT) and W H1207 (CT). 

Form R W1209 is an on-the-job disability income rider that provides monthly benefits for total disability due to a covered sickness or covered accident. This rider is available with policy form W H1206 (DC). 

Form R W1210 is an on-the-job disability income rider that provides monthly benefits for total disability due to a covered accident. This rider is available with policy form W H1207 (DC). 

Form R W1211 is a retroactive injury benefit rider that provides a lump sum benefit to the insured if he/she is continuously totally disabled from the date of the injury until the end of the elimination period. This rider is available with policy forms W H1206 (DC) and W H1207 (DC). 

Form R W1212 is a spouse accident only disability income rider which provides monthly benefits for total disability from a covered accident to the spouse of the insured. This rider is available with policy forms W H1206 (DC) and W H1207 (DC). 

Form OC-W H1206 (DC) is the corresponding outline of coverage for policy form W H1206 (DC).

Status = Pending
HIRFPending
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