Bankers Fidelity Life Insurance Company
The enclosed forms are being submitted to your department for formal review and approval and will not replace any previously approved forms. The rider is computer-generated, laser-printed and presented in final print with “John Doe” information. An actuarial memorandum with rates, demonstrating cost and benefit structure is enclosed. The only variable data in the rider [shown in brackets] is the policy number to which the rider is attached and the face amount that is issued.
The rider provides benefits for specified critical illnesses (dread diseases). The rider will be issued with Cancer Expense policy form B 9401, which was approved by your department on 04-14-2005. The product will be marketed through individual solicitation by personally producing licensed and contracted agents and brokers.