Enrollment/Change Request & Salary Reduction Agreement-Variable Annuity Sample Contracts

Exhibit 5(b) Enrollment/Change Request & Salary Reduction Agreement-Variable Annuity UNUM Life Insurance Company of America Retirement Security Division - TSA/Client Services P.O. Box 9740 Portland, Maine 04104-5001 Tel. 1-800-341-0441 Fax 1-207-770-3460
Enrollment/Change Request & Salary Reduction Agreement-Variable Annuity • May 1st, 1998 • Va I Separate Account of Unum Life Ins Co of America
Contract Type
Filed
May 1st, 1998
Company