Common Contracts
1 similar Temporary Life Insurance Agreement contracts
TEMPORARY LIFE INSURANCE AGREEMENTTemporary Life Insurance Agreement • August 2nd, 2020
Premium or Authorization for Initial EFT draft or Credit Card has been received from in the amount of $_ in payment of one full monthly premium for an insurance policy applied for on the life (lives) of the above named Proposed Insured, for whom an application (the “Application”) dated has been made to North American Company for Life and Health Insurance (the “Company”). This Temporary Life Insurance Agreement does not provide any coverage, except as provided herein. If any of the below representations are answered YES or LEFT BLANK, the agent is not authorized to accept any premium or authorization for initial EFT draft or Credit Card, and there will be NO COVERAGE. There will also be no coverage under this Agreement if Section 1035 exchange paperwork is received without premium payment. Premium may be paid by check, authorized withdrawal, or credit card.
