Service Office Sample Contracts

Service Office: One Sun Life Executive Park Wellesley Hills, MA 02481 Home Office:
Service Office • November 27th, 2007 • Sun Life Ny Variable Account D
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Service Office: [One Sun Life Executive Park Wellesley Hills, MA 02481 Home Office: [60 East 42nd Street Suite 1115 New York, NY 10165]
Service Office • July 29th, 2009 • Sun Life Ny Variable Account D

This is a legal contract between the Policy Holder and Us, Sun Life Insurance and Annuity Company of New York (“the Company”, “we”, “our”). We agree to pay the benefits under this Group Policy according to its provisions. The Certificate Owner and Insured are named in each certificate. We agree to pay the Death Benefit proceeds to the beneficiary upon receipt of due proof of the Insured’s death. Signed for the Company: [[Missing Graphic Reference]] [Westley V. Thompson], [President] [Missing Graphic Reference] [ ] [Michael S. Bloom, Secretary]

Service Office: [One Sun Life Executive Park Wellesley Hills, MA 02481 Home Office: [60 East 42nd Street Suite 1115 New York, NY 10165]
Service Office • July 29th, 2009 • Sun Life Ny Variable Account D

This is a legal contract between the Policy Holder and Us, Sun Life Insurance and Annuity Company of New York (“the Company”, “we”, “our”). We agree to pay the benefits under this Group Policy according to its provisions. The Certificate Owner and Insured are named in each certificate. We agree to pay the Death Benefit proceeds to the beneficiary upon receipt of due proof of the Insured’s death. Signed for the Company: [[Missing Graphic Reference]] [Westley V. Thompson], [President] [Missing Graphic Reference] [ ] [Michael S. Bloom, Secretary]

Service Office: One Sun Life Executive Park Wellesley Hills, MA 02481 Home Office: Suite 1115 New York, NY 10165
Service Office • July 17th, 2007 • Sun Life Ny Variable Account D

This Policy is a legal contract in which We, Sun Life Insurance and Annuity Company of New York, promise to provide the kind of insurance described below. Upon death of the Insured, We agree to pay the Beneficiary such amounts as then become due and payable. Until that time, We agree to provide You, as Owner, the other rights and benefits of this Policy. These rights and benefits are subject to the provisions on the pages which follow. Signed for the Company at its Home Office: [Missing Graphic Reference] [Robert C. Salipante, President] [Missing Graphic Reference] [Michael S. Bloom, Secretary]

Service Office: [One Sun Life Executive Park Wellesley Hills, MA 02481 Home Office: [122 East 42nd Street Suite 1900 New York, NY 10017]
Service Office • June 20th, 2008 • Sun Life Ny Variable Account D

This is a legal contract between the Policy Holder and Us, Sun Life Insurance and Annuity Company of New York (“the Company”, “we”, “our”). We agree to pay the benefits under this Group Policy according to its provisions. The Certificate Owner and Insured are named in each certificate. We agree to pay the Death Benefit proceeds to the beneficiary upon receipt of due proof of the Insured’s death. Signed for the Company: [Missing Graphic Reference] [Robert C. Salipante, President] [Missing Graphic Reference] [Michael S. Bloom, Secretary]

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