Supplemental Insurance Policies
INSURANCE COMPANY
POLICY TYPE |
FORMS |
American Family Life Assurance Company
(Payroll Code: AI03 -- Billing Unit: American Family Life Assurance Company)
| Cancer |
A-9520; A-12000 |
| First-Occurrence Building Benefit |
A-70250 |
| Hospital Intensive Care |
A-9990 |
| Life |
5191 |
| Life Assurance |
A-62100-OK, A-62200-OK |
| Rider Series |
A-62250, A-62055-OK, A-62050, A-62051 |
| Personal Accident Expense Plan |
A33000 |
| Personal Accident Expense Plan |
A-33005OK |
| Personal Accident Indemnity Plan |
A-34100-OK, A-34200-OK |
| Optional Off-the-Job Accident Disability Rider |
A-34050-OK |
| Optional Sickness Disability Rider |
A-34052-OK |
| Optional Spouse Off-the-Job Accident Disability |
A-34053-OK |
| Personal Cancer Protector Plan |
A-59000 |
| First-Occurrence Building Benefit Rider |
A-59050 |
| Specified Disease Benefit Rider |
A-59052-OK |
| Personal Hospital Intensive Care |
A-1820B-OK |
| Personal Disability Income Protector |
A-57400-OK |
| 3 month Limited Benefit |
A-574LB-OK |
| Personal Disability and Income Protector |
A-57000-OK |
| Personal Accident Indemnity Plan |
A-34001-OK |
| Personal Long-Term Care Plan |
A-27000-OK |
| Long-Term Care Inflation Rider |
A-27062 |
| NonForfeiture Benefit Rider |
A-27051 |
| Personal Recovery Plus (Specified Event) |
A-70200 |
| First-Occurrence Building Benefit |
A-070250 |
| Personal Sickness Indemnity Plan |
A-45100, A-45200-OK, A-45300-OK |
| Optional Initial Hospitalization Benefit Rider |
A-45050 |
| Voluntary Indemnity Plan |
A-442200-OK |
| Initial Hospitalization Benefit Rider |
A-44150, A-44250 |
| Disability Income Protection Advantage |
A57500OK, A57500lBOK |
| 24-Hour Accident-Only Insurance |
A35B24OK; A35100OK; A35200OK |
| Optional Off-the Job Disability Benefit Rider Summary Page - Rider |
A35050 |
| Optional Sickness Disability Benefit Rider Summary Page - Rider |
A35052OK |
| Optional Additional Accidental-Death Benefit Rider Summary Page - Rider |
A35054 |
| Cancer Indemnity Insurance |
A761ESOK; A76100OK |
| Optional Initial Diagnosis Benefit Rider Summary Page - Rider |
A76050OK |
| Optional Cancer Screening and Annual Care Benefit Rider - Summary Page |
A76051 |
| Optional Specified-Disease Benefit Rider Summary Page |
A76052OK |
| Optional Return of Premium Benefit Rider Summary Page - Rider |
A76053 |
| Specified Health Event Protection |
A71100OK; A71200OK |
| Optional First-Occurrence Building Benefit Rider Summary Page |
A71050 |
| Optional Primary Specified Health Event Recovery Benefit Rider Summary Page |
A71051OK |
| Hospital Confinement Indemnity Insurance |
A46100OK; A46200OK; A46300OK |
| Optional Initial Hospitalization Benefit Rider Summary Page |
A46050 |
| Hospital Confinement Sickness Indemnity Limited Benefit Insurance |
A-45100-OK; A45200-OK; A-45300-OK |
| Optional Additional Initial Hospitalization Benefit Rider Summary Page |
A45050 |
| Hospital Intensive Care Unit Insurance |
A18400OK; A1840HOK |
| Term Life Insurance |
ICC0964200; ICC0964300; ICC0964500 |
| Whole Life Insurance |
ICC0964100 |
| Aflac Dental Insurance - Basic |
A81100OK |
| Aflac Dental Insurance - Standard |
A81200OK |
| Aflac Dental Insurance - Premier |
A81300OK |
| Aflac Dental Insurance - Premier Plus |
A81400OK |
| Optional Cosmetic Benefit Rider Summary Page |
A81051 |
| Optional Orthodontic Benefit Rider Summary Page |
A81050 |
| Vision Now |
VSN100OKR |
American General Life Insurance Company
(Payroll Code: AI36 -- Billing Unit: American General Life Insurance Company)
| Accidental Death Benefit |
88012 |
| Certificate Application |
LD 8239-5G |
| Certificate Endorsement |
L 4412 |
| Children's Insurance Benefit |
88420 |
| Family Insurance Benefit |
88419 |
| Future Guaranteed Insurability Rider |
95101 |
| Group Flexible Premium Adjustable Life Insurance Certificate |
88450 |
| Group Master Plan |
88451 |
| Group Master Plan |
92463 |
| Level Term Life Insurance Benefit on the Spouse of the Insured |
91417 |
| Master Policy Application |
L 4411 |
| Term Life Insurance Benefit on the Spouse of the Insured |
88389 |
| Waiver of Monthly Deduction |
88011 |
| Children's Insurance Benefit |
82410 |
| Waiver of Monthly Deduction |
82001 |
| Terminal Illness Rider (Group Master Plan or Estate Master Select) |
91401 |
| Loss of Independent Living Rider |
04805 |
| Accidental Death and Dismemberment Rider |
04022 |
| Hospital Cash Rider |
04025 |
| AIG CriticalCare |
03800-37 Rev 0105 |
| AIG EmergencyCare |
04120-37 |
| Accident-Only Short-Term Disability Rider (Off the Job) |
04023-37 |
| AIG CancerCare Platinum Plus |
02183 |
| AIG Worksite Universal Life |
08463 |
American Heritage Life Insurance Company (pay to Allstate Workplace Division)
(Payroll Code: AI59 -- Billing Unit: Allstate Workplace Division)
| AP3 |
AP3, APDIRCOK/APDIRSOK, APHCR1OK, AP3BER, AP3EXT |
| Group Voluntary Critical Illness/MyLifeline |
GVCIP1OK/GVCIP2OK, GVCIC2OK, GCIP3OK, GCIC3OK, GCIAPPOK, ERA PPOK, G-AMD, AWD4530OK |
| Group Universal Life Policy/GUL22 |
GUADBOK, GUCDSL, GUCTR, GUFPO, GULBR, GULTCOK, GULTCEXT, AWD13510OK, AWD13511OK, AWD4553V, AWD13513, GULAPP, GUL22COK, GUL22CV, GUOIR. GUPWMD, GUPW, GUTIR, GUPWMD, UADD1AFOK, UARAF |
| HeartCare Plus |
HSP2OK, CIDR1, ICR90OK, WBR5 |
| CP10 |
CP10APXOK/CP10BPXOK, CABR2, ICR3OK, CLR2, CFR2, WBR5, EWBR5, OWBR5OK, AWD6734OK |
| Heritage Paycheck Protector/DI5 |
DI5WOK |
| Horizon 20 Year Term Life Insurance |
D20RCTOK/P20RCTOK, TADB1OK, TCTR3OK, TLBR1, TPW1,TSTR2 |
| S.H.O.P. |
CHC, IHR1, SAR1, IPBR1, OPBR1, OEAR1, AHNR, TR1, ADIR1, SDIR1 |
| Accident Plan/AP3 |
APOPTR1OK |
| Group Universal Life Policy/GUL22 |
AWD4553 |
| Universal Life |
UL20POK (ALST-1251520873) |
| Rider |
UADB1OK (ALST-125520873) |
| Rider |
UCTR3OK (ALST-125520873) |
| Rider |
UFPR2 (ALST-125520873) |
| Rider |
ULBR1 (ALST-125520873) |
| Rider |
UPW1 (ALST-125520873) |
| Rider |
UTIR2 (ALST-125520873) |
| Rider |
UOIR2 (ALST-125520873) |
| Rider |
UL-CIR1 |
| Rider |
UL-LTCR1 |
| Critical Illness |
CILP1OK |
| Outlines of Coverage |
OCILP1OK |
| Outlines of Coverage |
D-7352OK |
| Hospital Confinement Rider |
CIHCR1OK |
| Outlines of Coverage |
OCIHCR1OK |
| Outlines of Coverage |
D-7354OK |
| Critical Illness Cancer Rider |
CICR1 |
| Outlines of Coverage |
OCICR1OK |
| Outlines of Coverage |
D-7353OK |
| Accidental Death & Dismemberment Rider |
ABR1OK |
| Outlines of Coverage |
OCABR1OK |
| Wellness Benefit Rider |
WBR5 (ALST-126059673) |
| Outlines of Coverage |
OWBR5OK |
| Outlines of Coverage |
AWD6734OK |
| Amendment |
OK02-1 |
American Heritage Life Insurance Company (pay to McNeil, Jackson, Ahrens Financial Group, LLC)
(Payroll Code: AI61 -- Billing Unit: McNeil, Jackson, Ahrens Financial Group, LLC)
| Group Accident Policy |
GVAP1(OK) |
| Group Cancer and Specified Disease Policy |
GVCP3OK |
| Group Critical Illness Policy |
GVCIP1OK |
| Accident Policy |
AP2/AP3 |
| Cancer Policy |
CBP2POK |
| Cancer and Specified Disease Policy |
CP10BPXOK |
| Disability Policy |
DI5WOK |
| Critical Illness Policy |
CILP1OK |
American International Group, Inc.
(Payroll Code: AI36 -- Billing Unit: American General Life Insurance Company)
| Group Critical Illness -- Certificate |
GCI5002-OK-0605 |
| Group Critical Illness -- Application |
GCI5003-OK-0605 |
| Group Critical Illness -- Application |
GCI5004-OK-0605 |
| Group Critical Illness -- Endorsement |
GCI5006-0605 |
| Group Critical Illness -- Rider |
GCI5007-0605 |
American Public Life Insurance Company
(Payroll Code: AI05 -- Billing Unit: American Public Life Insurance Company)
| Accident Expense, Death and Dismemberment |
A-2 (3/80) |
| Cancer and Specified Disease |
S-CSD-1 (6/83) |
| Cancer and Specified Disease |
BDCPA (7/83) |
| Cancer and Specified Disease |
APL-1 (6/86) |
| Cancer and Specified Disease |
GCPW (6/86) |
| Cancer and Specified Disease |
APLIC-1 (10/90) |
| Cancer and Specified Disease |
APLIC-2 (10/90) |
| Cancer and Specified Disease |
APLIC-3 (10/90) |
| Convertible Term Life/Decr. Term |
S-900 (1/89) |
| Hospital Intensive Care/Coronary Care |
IC-CC-1 (Rev. 8/82) |
| Hospital Intensive Care/Coronary Care |
IC-CC-2 (6/86) |
| Heart Attack/Stroke |
HA/S-1 (6/86) |
| Intensive Care/Coronary Care |
IC/CC-3 (2/90) |
| Whole Life |
WL-1 (11/86) |
Assurity Life Insurance Company
(Payroll Code: AI 49 -- Billing Unit: Assurity Life Insurance Company)
| Return of Premium Rider |
CIR018 |
| Disability Waiver |
CIR016 |
| Automatic Benefit Increase |
A-DR205 |
| Return of Premium Rider |
A-DR208 |
| Residual Benefit Rider |
R-D220 |
| Guaranteed Insurability Rider |
RD221 |
| Hospital Benefit Rider |
A-DR202 |
| Home Modification Rider |
A-DR210 |
| Retroactive Injury Benefit |
RD222 |
| Critical Illness |
CI005 (OK) |
| Accidental Death Benefit |
A-R126 (OK) |
| Spouse Rider |
CIR-010 (OK) |
| Dependent Child Rider |
CIR014 (OK) |
| Critical Illness |
CI007 (OK) |
| Spouse Rider |
CIR012 (OK) |
| Children's Rider |
CIR020 (OK) |
| Personal Disability |
A-D100 (OK) |
| Supplemental DI Rider |
A-DR200 (9/95) |
| Simplified Life |
A-LN00 (OK) |
| Accident Expense Policy |
AAW-A117OK |
| Family Rider |
AAW-AR260OK |
| Outpatient Sickness |
AAW-DR225OK |
| Intensive Care Benefit |
AAW-DR226OK |
| Private Duty Nurse |
AAW-DR227OK |
| Surgical and Anesthesia and Additional Benefits |
AAW-DR228OK |
| Surgical Anesthesia and Additional Benefits |
AAW-DR230OK |
| Disability Income Policy |
AAW-D113OK |
| Sickness Benefits |
AAW-DR220N0 |
| Emergency Accident |
AAW-DR221 |
| Accidental Death and Dismemberment |
AAW-DR222 |
| Cancer Expense |
AAW-C120 OK |
| Cancer Expense Rider |
AAW-CR261 OK |
| Cancer Expense Rider |
AAW-CR262 OK |
| Cancer Expense Rider |
AAW-CR263 OK |
| Cancer Expense Rider |
AAW-CR264 OK |
| Accident Expense |
W A200 OK |
| Accident Expense (Off the Job) |
W A205 OK |
| Short Term Disability Income Rider |
R WA201 OK |
| Short Term Disability Income Rider (Off the Job) |
R WA251 OK |
| Universal Life |
9900 |
| Accidental Death Rider |
0027 |
| Level Term Insurance Rider (20-Year) |
0150 |
| Additional Insured Rider Level Term (20-Year) |
0151 |
| Rider to Apply Monthly Payments and Waive Monthly Deductions in Case of Total Disability |
0153 |
Central States of Omaha
(Payroll Code: AI24 -- Billing Unit: Pre-Paid Legal Casualty Inc.)
| Policy |
C01OK (Actuary No. 1632-92-0014 only) |
| ICU Rider |
8121OK |
| Policy |
C02OK |
| ICU Rider |
8122OK |
| Return of Premium |
8018 |
| First Occurrence Rider |
8119 |
Central United Life Insurance Company
(Payroll Code: AI24 -- Billing Unit: Pre-Paid Legal Casualty Inc.)
| Cancer Insurance Outline of Coverage |
FOB98OK-OC |
| Cancer Insurance Application |
AP-FOB99 |
| Cancer Insurance Application |
AP-CEP99 |
| Outline of Coverage -- Cancer |
OC-CP 4000 OK |
| Intensive Care -- Rider |
ICUR 4000 |
| Critical Care -- Rider |
CCBR 4000 |
| Application -- Critical Care Rider |
AP-CEP04-OC-OK |
| Outline of Coverage |
HDHASTOK-OC |
| Heart and Stroke Confinement -- Rider |
HRST98OK |
| Application -- Heart and Stroke Rider |
AP-HST99 |
| Schedule -- Accident |
EAP-SCH |
| Outline of Coverage -- Accident |
EAP-OC-OK |
| Disability Income -- Rider |
EAP-DR-OK |
| Application -- Accident Rider |
CUL-ESAE-OK |
| Combined Application |
AP-COMBO-03 |
Citizens Insurance Company
(Payroll Code: AI24 -- Billing Unit: Pre-Paid Legal Casualty Inc.)
| Accidental Death |
ADP-781 |
| Cancer and Dread Disease |
ACC-182; ACC-487-OK |
| Cancer and Dread Disease |
ACC 585-OK |
| Cancer 1st Occurrence Benefit Rider |
FOB-487 |
| Heart Attack and Stroke |
HASP-487-OK |
| Intensive Care Unit Rider |
AIC-487-OK |
| Life |
GDBWL 3/83; 35PL 1/83 |
| Return of Premium Refund Benefit Rider |
RPI-487 |
Colonial Life and Accident Insurance Company
(Payroll Code: AI02 -- Billing Unit: Colonial Life Processing Center )
| Accident Care |
ACCPOL-OK |
| Accident Care Health Screening Rider |
R-HSR |
| Accident Care Off-Job Only Accident Disability Income Rider |
R-AD-OK |
| Accident Care Sickness and Off-Job Accident Disability Income Rider |
R-ASD-OK |
| Accident Care Sickness Hospital Confinement Rider |
R-SHC-OK |
| Public Sector Accident Care Accident Disability Rider |
R-PS-AD-OK |
| Public Sector Accident Care Accident/Sickness Disability Rider |
R-PS-ASD-OK |
| Accident 1.0 with Health Screening |
ACCIDENT 1.0-HS-O-OK |
| Accident 1.0 without Health Screening |
ACCIDENT 1.0-NS-O-OK |
| Accident 1.0 Off-Job Only or On/Off-Job Accident Disability Income Rider |
RAD-1.0-OK |
| Accident 1.0 Off-Job Only or On/Off-Job Accident/Sickness Disability |
R-ASD-1.0-OK |
| Accident 1.0 Sickness Hospital Confinement Rider |
R-SHC-1.0-OK |
| Educator Disability 1.0 |
ED-DIS1.0-O-OK |
| Short Term Disability 1000 |
DIS1000-OK |
| Intensive Care |
ICIP-OK(96) |
| Medical Bridge 1000 |
MB1000-OK |
| Medical Bridge 3000 |
MB3000-OK |
| Cancer Security Progressive Payment |
R-PROGPAY-NOWP |
| Cancer Security Specified Disease and Death Rider |
R-CANCOMBO-NOWP |
| Cancer Security Specified Disease Rider- |
SPECDIS-NOWP |
| Cancer 1000 |
C1000-OK |
| Cancer 1000 Progressive Payment Rider |
R-C1000-Prog-O-OK |
| Cancer 1000 Specified Disease Rider |
R-C1000-SpDis-O-OK |
| Critical Illness-No Wellness-No Cancer |
CI(98)-NWC-OK |
| Critical Illness-No Wellness-With Cancer |
CI(98)-C-OK |
| Critical Illness-With Wellness-No Cancer |
CI(98)-WC-OK |
| Critical Illness-With Wellness-With Cancer |
CI(98)-W-OK |
| Critical Illness 1.0 |
CI-1.0-O-OK |
| Level Term Life |
10/10/YRT-OK |
| Term Life 10-Yr. Spouse Term Rider |
STR-10 |
| Term Life 20-Yr. Spouse Term Rider |
STR-20 |
| Term Life Accidental Death Benefit Rider |
ADB 10/10/YRT |
| Term Life Children's Term Rider |
CTR 10/10/YRT |
| Term Life Waiver of Premium Benefit Rider |
R-WAIVER |
| Universal Life/CP97 (UL) |
UL97-OK |
| Juvenile Universal Life 1000 |
ICC08-UL10003 |
| Juvenile Universal Life 1000 Guaranteed Purchase Option Rider |
ICC08-R-UL-GPO |
| Universal Life 1000 |
ICC07-UL1000 |
| Universal Life 1000 Accidental Death Benefit Rider |
ICC07-R-UL-ACDTH |
| Universal Life 1000 Additional Coverage Time Rider |
ICC07-R-UL-ACR |
| Universal Life 1000 Children's Term Rider |
ICC07-R-UL-CTR |
| Universal Life 1000 Spouse Term Rider |
ICC07-R-UL-STR |
| Universal Life 1000 Waiver of Monthly Deductions Rider |
ICC07-R-UL-WOMD |
| Group Medical Bridge 1.0 |
GMB1.0-P-OK |
Columbian Life Insurance Company
(Payroll Code: AI45 -- Billing Unit: Crow Allison and Associates, LLC)
| 20 Year Level Term-Criticalife |
1F559B-CL |
| Accelerated Benefit Rider to Age 85 |
1H803P-CL |
| Payroll Waiver of Premium Rider |
1H805B-CL |
| Waiver of Premium Rider |
1H800B-CL |
| Accidental Death Before Age 70 Rider |
1H801-CL |
| Automatic Increase Rider |
1H804-CL |
| Child Term Rider |
1H802-CL |
| Universal Life Certificate |
9F133H-CL |
| Waiver of Monthly Deduction Rider |
9CC02-CL |
| Child Term Insurance Rider |
9C402B-CL |
Continental American Insurance Company (pay to McNeil, Jackson, Ahrens Financial Group, LLC)
(Payroll Code: AI61 -- Billing Unit: McNeil, Jackson, Ahrens Financial Group, LLC)
| Critical Illness - Master Policy |
CAI2800OK |
| Critical Illness - Certificate |
CAI2801OK |
| Critical Illness - Master Application |
CAI2810OK |
| Critical Illness - Enrollment Application |
CAI2811OK |
| Critical Illness - Dependent Child(ren) Benefit Rider |
CAI2821OK |
| Critical Illness - ADL/Skilled Nursing Rider |
CAI2826 |
| Critical Illness - Additional Benefit Rider |
CAI2835OK |
| Critical Illness - Occupational HIV Rider |
CAI2836 |
| Critical Illness - Automatic Increase Rider |
CAI2837 |
| Whole Life - Master Policy |
WL9800-MP OK |
| Hospital Indemnity - Certificate |
CA8500-Cl (OK) |
| Hospital Indemnity - Master Application |
CA8500-MA (OK) |
| Hospital Indemnity - Enrollment Application |
CA-2006-HI |
| Hospital Indemnity - Dependent Child(ren) Benefit Rider |
CA8500-DCR |
| Accident - Dependent Accident Rider |
CA7700-DAR (OK) |
| Accident - Enrollment Application |
CA-2006-ACC |
| Accident - Sickness Rider |
CA7700-SR ADV (OK) |
| Accident - Gunshot Wound Rider |
CA7700-GWR |
| Disability - Master Policy |
GP5100-MP (OK) |
EMC National Life
(Payroll Code: AI24 -- Billing Unit: Pre-Paid Legal Casualty, Inc.)
| Cancer & Specified Disease Policy |
HP 9370 OK 8-99 |
| First Occurrence Rider |
AMH 9372 8-99 |
| The EMCNL Protector for Cancer |
HP3000 |
Fidelity Life Association
(Payroll Code: AI58 -- Billing Unit: Fidelity Life Association)
| Lifetime Benefit Term |
WP300 Group Policy; WC300 Certificate |
| Rider: Child Term Rider |
W3P02 |
| Rider: Accidental Death Benefit |
W3P00 |
| Rider: Waiver of Premium |
W3P01 |
| Rider: Accelerated Benefit for Long Term Care and Terminal Illness |
W3P07COK |
| Rider: Extension of Benefits |
W3P09 |
Humana
(Payroll Code: AI24 -- Billing Unit: Pre-Paid Legal Casualty, Inc.)
| Cancer Insurance (Application) |
HIC-CAN-APP-OK 05/09 |
| Cancer Insurance Policy Brochure (Outline of Coverage) |
HIC-OOC-OK 5/09 |
| Intensive Care Rider |
HIC-ICR-OK 5/09 |
| Payment Benefit Rider |
HIC-POBR-OK 5/09 |
Kanawha Insurance Company
(Payroll Code: AI45 -- Billing Unit: Crow Allison and Associates, LLC)
| Accident Plus |
60830 9/30 OK |
| 24 Hour Coverage Rider-Accident Plus |
60831 9/03 |
| Accident Total Disability Benefit Rider |
60832 09/03 |
| Fracture and Dislocation Benefit Rider |
60833 9/03 |
| Hospital Intensive Care Unit Benefits Rider |
60834 9/03 |
| Return of Premium Benefit Rider |
70170 2/98 |
| Supplemental Cancer Only Benefit Rider |
70240 4/98 OKLAHOMA |
| Cancer Lump Sum First Diagnosis Benefit Rider |
70245 4/98 OK |
| Cancer Wellness Benefit Rider |
70250 4/98 OKLAHOMA |
| Optional Cancer Hospital Indemnity Benefit Rider |
70255 4/98 OKLAHOMA |
| Cancer Travel Benefit Rider |
70265 4/98 OKLAHOMA |
| Criticalife-Term to Age 90 |
8013 OK |
Liberty National Life Insurance Company
(Payroll Code: AI56 -- Billing Unit: Liberty National Life Insurance Company)
| Group Term Life |
GL |
| Career Life Plus |
CLP |
| $3,000 Accident Plan (ADP) (7061) |
A-394-K, ED 5-05 |
| Hospital Accident Policy - Individual |
7062 |
| Hospital Accident Policy - Family |
7062F |
| Hospital Accident Policy - Single Parent |
7062S |
| Family Cancer Policy - Family |
5KH |
| Family Cancer Policy - Individual |
5KG |
| Family Cancer Policy - Single Parent |
5KI |
LifeSecure Insurance Company
(Payroll Code: AI62 -- Billing Unit: LifeSecure Insurance Company)
| Long Term Care Insurance |
LS-0002 OK 07/07 |
| Hospital Recovery Insurance |
LS-HR-0001 09/10 |
National Teachers Associates Life Insurance Company
(Payroll Code: AI13 -- Billing Unit: National Teachers Associates Life Insurance Company)
| Accident Policy |
GRA-3001 (1/95) |
| Cancer Policy |
GRC-2004-OK (1/03) |
| Heart Disease, Heart Attack and Stroke Policy |
GRH-1003-OK (10/96) |
| Disability Income Policy |
GRD-6003-OK (10/99) |
| Spouse Rider - Accident |
GRA-SR-OK (1/95) |
| Child Rider - Accident |
GRA-CR-OK (1/95) |
| ICU Rider - Accident |
GRA-ICU-OK (1/95) |
| All Purpose Impatient Rider |
GR-1026-OK (2/03) |
| ICU - All Purpose Rider |
GR-2015-OK (1/03) |
| Specified Disease Rider |
GR-1045-OK (10/96) |
| Hospital Enhancement Rider |
GR-1013-OK (8/98) |
| Benefit Booster Rider |
GR-1056-OK (10/04) |
| Return of Premium Rider |
GR-1082-OK (10/04) |
| ICU - Heart Only Rider |
GR-1025-OK (10/96) |
| Heart Attack & Stroke First Occurrence Benefit Rider |
GR-1035-OK (10/96) |
| Heart Wellness Rider |
GR-1011-OK (6/98) |
| Cancer Benefit Enhancement Rider |
GR-1014-OK (1/03) |
| Whole Life Insurance Policy |
L-1115 (1/94) |
| Renewable & Convertible Term Life Insurance Policy |
L-2225 (1/94) |
| Convertible Decreasing Term Life Insurance Policy |
L-2224 (1/94) |
| Accidental Death and Dismemberment Rider |
L-ADDR.70 (1/94) |
| Children's Term Insurance Rider |
LCR-111 (1/94) |
| Accident Policy -- Series II |
GRA-3002-OK (5/06) |
| Accident Home Recovery Benefit Rider |
GR-AHRBR-OK (3/07) |
| Heart Disease, Heart Attack & Stroke Policy -- Series III |
GRH-1004-OK (9/06) |
| Heart Benefit Enhancement Rider |
GR-HBER-OK (10/07) |
National Union Fire Insurance Company of PA
(Payroll Code: AI24 -- Billing Unit: Pre-Paid Legal Casualty, Inc.)
| Cancer & Specified Disease Insurance |
C30551NUflC |
| Hospital Intensive Care Rider |
C30553NUFIC |
Occidental Life Insurance Company
(Payroll Code: AI24 -- Billing Unit: Pre-Paid Legal Casualty Inc.)
| Cancer |
HC3B-1 Ed. 7-86 |
| Cancer |
HC2-1 Ed. 7-86 |
| Cancer |
HC4-1 Ed. 7-86 |
| Group/Franchise Disability |
HD1-1 Ed. 3-87 |
| Individual/Limited Benefit-Accident |
HA1-1 OK Ed. 5-88 |
| Individual/Whole Life |
FOH Ed. 8-86 |
Pre-Paid Legal Casualty, Inc
(Payroll Code: AI24 -- Billing Unit: Pre-Paid Legal Casualty Inc.)
| Family Plan |
PPLSI-233 |
| Law Officers Legal Plan |
PPLSI-234 |
Provident Life and Accident Insurance Company
(Payroll Code: AI61 -- Billing Unit: McNeil, Jackson, Ahrens Financial Group, LLC)
| Restoration & Continuation |
L-21729 |
| Automatic Increase Rider |
L-21755 |
| Waiver of Monthly Funding |
L-21758 |
| Accident Insurance |
L-21762-OK |
| Accident Disability Income |
L-21763-OK |
| Accident/Sickness Disability Income |
L-21764-OK |
| Sickness Hospital Confinement Income |
L-21765-OK |
| Limited Benefit Health Coverage for Specified Critical Illness |
L-21780-OK |
| Limited Benefit Health Coverage for Specified Critical Illness and Additional Specified Critical Illness |
L-21779-OK |
| Health Screening Benefit Rider |
L-21781-OK |
| Spouse Specified Critical Illness Rider (without Cancer and Carcinoma in Situ coverage) |
L-21783-OK |
| Spouse Specified Critical Illness Rider (with Cancer and Carcinoma in Situ coverage) |
L-21784-OK |
| Child Specified Critical Illness Rider (without Cancer and Carcinoma in Situ coverage) |
L-21785-OK |
| Child Specified Critical Illness Rider (with Cancer and Carcinoma in Situ coverage) |
L-21786-OK |
| 10/10/Yearly Renewable Term |
L-21715-OK |
| Accidental Death Benefit |
L-21718-OK |
| Waiver of Premium |
L-21720-OK |
| Children's Term Rider |
L-21716-OK |
| Spouse Term Rider |
L-21717 |
| Interest Sensitive Whole Life |
L-21794-OK |
| Accidental Death Benefit |
L-21796 |
| Children's Term Rider |
L-21798 |
| Living Benefit Option Rider |
L-21823 |
| Long Term Care Rider |
L-21826-OK |
| Continuation |
L-21827 |
| Restoration |
L-21728 |
| Waiver of Premium |
L-21799-OK |
| Voluntary Individual Universal Life |
L-21825-OK |
| Living Benefit Option Rider |
L-21719 |
Providential Life Insurance Company
(Payroll Code: AI24 -- Billing Unit: Pre-Paid Legal Casualty Inc.)
| Cancer |
CC-174 |
| Intensive Care |
IC-101 |
Security Financial Life
(Payroll Code: AI49 -- Billing Unit: Assurity Life Insurance Company)
Transamerica Life Insurance Company, Long Term Care Division
(Payroll Code: AI60 -- Billing Unit: Transamerica Life Insurance Company, Long Term Care Division)
| Transcare/Transcare Options |
TLC 1-FP (OK) 709 |
Washington National Insurance Company (formerly Conseco Health Insurance Co.)
(Payroll Code: AI06 -- Billing Unit: Washington National Insurance Company)
| Accident Secure (AD&D and Accident Insurance) |
BM000/PS1OK-A |
| LifeChoices Series |
CH000/PS1OK-A |
| Benefit Rider |
CH0B1/IS1ST-A |
| Benefit Rider |
IS003/EA1OK-AA |
| Benefit Rider |
SD090/EA1ST-A |
| Pulse Protection (Heart & Stroke Insurance) |
KH000/PS1OK-BZ |
| Worksite Universal Life |
CIC-3001-OK |
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Oklahoma Office of Personnel Management
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