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NEW U.S. RESIDENCY ADDENDUM AG-2464 (R22) - CA, TX, FL, AZ, CO, GA, IL, IN, NV, NC, OK, SC, NJ, MA, UT, TN Only

In order for underwriting to consider an application, all 5 questions on the residency addendum must be completed. An incomplete form or a form that does not meet the criteria for ALL 5 questions listed below can result in a decline of the application.

Documents listed under #2 should be current and not expired with the exception of passports held by asylum seekers.

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     If no Green Card or TPS or Work Authorization then

 

****50K Max life****

   ***No Waiver of Premium***

***No Accident and Health***

***No ADB if no US drivers license 

 If an Owner without a Social Security Number is applying for coverage on someone other than himself, a Residency Addendum is required to be completed on the owner.

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