This is a Single Premium Term Life plan (you make only one affordable up-front payment). You can choose coverage at benefit levels of $25,000, $50,000, $75,000 or $100,000. Death from covered sickness or illness as well fatal injury from an accident are covered. If you are ages 18-59 you are eligible to apply.
Suicide.
For AK, AZ, CA, CO, CT, DC, DE, GA, HI, IA, IL, IN, MO, NE, NJ, NM, PA, TN (Policy SLTL1800GC): If you die by suicide within one year following the Certificate Effective date, the benefit is limited to the amount of the paid Single Premium without interest.
For AR, FL, ID, KS, KY, LA, ME, MD, MA, MI, MN, MS, NV, NH, NC, ND, OH, OK, OR, SC, SD, TX, UT, VT, WA, WI (Policy SLTL1800IP): If you die by suicide while this Policy is in force, the benefit is limited to the amount of the paid Single Premium without interest.
Rate Information.
Rates are based upon your age on the Effective Date when your coverage starts. This coverage is called Single Premium Life Insurance because you make only one up-front payment, which helps to keep the rates more affordable than for a plan that requires monthly payments for 1 year. No additional payments are required and there can be no rate increases.
You can cancel your coverage at any time.
If you decide you no longer need this coverage during your 1 year term, you may cancel your coverage and any premium paid beyond the date of cancellation will be refunded.
NOTICE TO APPLICANT: YOUR PRIVACY IS PROTECTED
Information regarding your insurability will be treated as confidential. Stonebridge Life Insurance Company or its reinsurers may, however, make a brief report thereon to the MIB, Inc., formerly known as Medical Information Bureau, a not-for-profit membership organization of insurance companies, which operates an information exchange on behalf of its members. If you apply to another MIB member company for life or health insurance coverage, or a claim for benefits is submitted to such a company, MIB, upon request, will supply such company with the information about you in its file.
Upon receipt of a request from you, MIB will arrange disclosure of any information in your file. Please contact MIB at 866-692-6901 (TTY 866 346-3642). If you question the accuracy of the information in MIB’s file, you may contact MIB and seek a correction in accordance with the procedures set forth in the federal Fair Credit Reporting Act. The address of MIB’s information office is 50 Braintree Hill Park, Suite 400, Braintree, Massachusetts 02184-8734.
Stonebridge Life Insurance Company, or its reinsurers, may also release information from its file to other insurance companies to whom you may apply for life and health insurance, or to whom claim for benefits may be submitted. Information for consumers about MIB may be obtained on its website at www.mib.com.
Upon written request to Stonebridge Life Insurance Company, you may have access to the information about you in your file. If after reading the information in your file, you believe it is inaccurate, you should notify us, indicating what you believe is inaccurate and why. We will tell you at that time how to correct or amend your file and when information may be disclosed to others without your consent.
Also as a part of our normal procedure for processing your application, an investigative consumer report or other consumer report may be prepared. In an investigative consumer report, information is obtained through personal interviews with your neighbors, friends, or others with whom you are acquainted. This inquiry, if obtained, typically includes information as to your character, general reputation, and mode of living. You may make a written request within a reasonable period of time for additional information about the nature and scope of this investigation. If you ask, you may be interviewed by the agency preparing your report. Information you give to the agency will be included in the report sent to us. If you wish to be interviewed, please tell us how the consumer reporting agency can reach you. Every effort will be made by the consumer reporting agency to interview you. You may ask to receive a copy of the report at anytime. Please direct any request for information to our Underwriting Department.
THIS NOTICE IS TO BE READ BY THE APPLICANT FOR INSURANCE
Policy Form # SLTL1800GC and SLTL1800IP.