| |
American General |
|
HIPAA auth available as part
of new applications in all states. |
| |
American Mayflower |
|
GE Financial feels the HIPAA
requirements are generally consistent with the authorization
language currently contained in their Life Applications. |
| |
Amerus |
|
15099 added for all states |
| |
Bankers Life of New York |
|
Use
current authorization |
| |
Banner Life |
|
LU
1250 is available |
| |
Canada Life |
|
HIPAA
0403 added for all states |
| |
Canada Life of New York |
|
HIPAA0403NY
is available |
| |
Clarica |
|
HIPAA29_6
is available |
| |
CNA |
|
LC3862 and LC3947 Authorizations available for LTC
Waiting for carrier to release form for Life business
|
| |
Companion Life of New York |
|
HIPAA
auth available as part of life application |
| |
Empire General |
|
hipaaild242
is available |
| |
First Colony Life |
|
GEFA-HIPAA has been removed per carrier recommendation
62397 is available for LTC
|
| |
First Penn Pacific |
|
B22-FPP
is part of the life application for all states |
| |
GE Capital Assurance |
|
GEFA-HIPAA has been removed per carrier recommendation
62397 is available for LTC
|
| |
General American |
|
E-Auth-02
and ECPN-03 are available |
| |
Great American Life Insurance
Company |
|
S6119303
is available |
| |
Jefferson-Pilot Life |
|
Carrier
maintains forms link |
| |
John Hancock |
|
Waiting
for carrier to release form |
| |
Life Investors |
|
HIPAA
form 33854 available |
| |
Lincoln Benefit Life Company |
|
For LTC- LBL 6449 is available
For Life- LG 938 is available
|
| |
Lincoln Life and Annuity Company
of New York |
|
B22-NY
part of life application for New York |
| |
Lincoln National Life |
|
B22
and B22-NY are available |
| |
Manufacturers Life Insurance
Company of New York |
|
NB4811NY
is available |
| |
Manulife |
|
NB4811
US is available |
| |
Metropolitan Life |
|
E-Auth-02
and ECPN-03 are available |
| |
Minnesota Life |
|
59016
is available |
| |
MONY |
|
HIPAA
Auth available as part of new applications in all states except: CT FL HI GA IN KS KY ME MD MA MI MN MO NV
NJ NY NC OH OK OR PA SC TX VT VA WI |
| |
New England Financial |
|
See
Met Life |
| |
North American |
|
L-3100
and L-3100NY has been added |
| |
Ohio National |
|
4020(HIPAA)
is available for all states except AK, HI, & NY |
| |
Old Line Life (American General) |
|
HIPAA
auth available as part of new applications in all states. |
| |
Old Republic |
|
Waiting
for carrier to release form |
| |
Peoples Benefit Life |
|
HIPAA
form 33854 available |
| |
Physicians Mutual / Physicians
Life |
|
LSF010
is available |
| |
Presidential Life Insurance Company |
|
HIPAA
6-24-03 is available |
| |
Protective Life |
|
P_ILD_242
is available
|
| |
Protective Life and Annuity Company
of New York |
|
Not
releasing a new form.
|
| |
Prudential Financial |
|
HIPAA
auth available as part of new applications in all states. |
| |
Reliastar of New York |
|
126396
is now available |
| |
Security-Connecticut Life |
|
126396
is now available |
| |
State Life |
|
HIPAA_Auth
available for all states |
| |
Sun Life Assurance Company of
Canada |
|
UND_2003
is available |
| |
Transamerica |
|
New
form is available - HIP 1-103 |
| |
Travelers |
|
L-17401
is available |
| |
Union Central |
|
UC
985 is available |
| |
United of Omaha |
|
HIPAA
auth available as part of life applications for all states. |
| |
US Financial |
|
HIPAA
is available |
| |
US Life |
|
AGLC100633
HIPAA for life new business is available |
| |
West Coast Life |
|
W-7384
HIPAA authorization is available as part of
life application |
| |
William Penn |
|
LU
1250WP is available |
| |
Zurich Life |
|
HIPAA
auth is available |
