Home
Forms Library
GRAX-G128780765 - Arkansas Insurance Department - insurance arkansas

GRAX-G128780765 - Arkansas Insurance Department - insurance arkansas 2025

GRAX-G128780765 - Arkansas Insurance Department - insurance arkansas Preview on Page 1

See details

4.7 out of 5

25 votes

The document outlines the filing for a Group Variable Annuity Enrollment Form (A2014113NW) by Annuity Investors Life Insurance Company in Arkansas. It details the approval process, including submission dates, status updates, and compliance information. The form is intended to replace a previously approved version and will be used for group flexible premium deferred variable annuity contracts. The document includes contact information for compliance inquiries and mentions associated fees.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out GRAX-G128780765 - Arkansas Insurance Department - insurance arkansas with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Participant Information' section. Enter your name, address, phone number, and Social Security Number (SSN). Ensure that you also provide your birth date and indicate if you are a U.S. person.
Next, complete the 'Employer Information' section. Input the group number, employer's name, address, and tax ID number.
In the 'Certificate Information' section, specify the product name and select your purchase payment method. If applicable, include details for subsequent payments.
Designate beneficiaries in the 'Beneficiary' section. Clearly state their names, addresses, and share percentages.
Review any notices relevant to your state before signing the form at the bottom. Ensure all information is accurate and complete.

Start using our platform today to easily fill out your GRAX-G128780765 form for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What insurance is leaving Arkansas?

The shift is part of plans to pull back in Arkansas, California, Colorado, Louisiana, Minnesota, Oklahoma, South Carolina, South Dakota and Washington, according to a company official. American National said it is working with their agents to look into options for clients in the affected regions.

Which states are insurance companies pulling out of?

Florida and California have seen a mass exodus of insurance companies, but they are not the only states insurance companies are pulling out of. Homeowners in Massachusetts, Louisiana, Colorado, Minnesota, Arkansas, Nebraska and Oklahoma may also struggle to find a policy.

Why are insurance companies pulling out of Arkansas?

Several big insurance companies are pulling out of Arkansas because we are considered ``high risk due to storm damage. This is causing a huge rise in insurance rates across the board for the state. Its the same thing thats happening to Florida right now.

Why are insurance companies leaving Arkansas?

The convergence of several factors has created what industry experts are calling an insurance crisis in Arkansas. Climate change has fundamentally altered the risk landscape, with the National Weather Service reporting 30 tornadoes in Arkansas in 2023 and 40 in 2022.

Who holds insurance companies accountable on claims?

State insurance regulators are the primary regulators of the insurance sector. They are responsible for ensuring that insurance companies are able to pay claims when consumers have an insured loss and that insurance consumers are treated fairly.

What is Arkansas state insurance called?

Arkansas Medicaid is a health program managed by the State of Arkansas and jointly funded by State and federal dollars. The Arkansas Department of Human Services (DHS) administers the Arkansas Medicaid program.

Is Allstate pulling out of Arkansas?

The insurance company plans to pull out of Arizona, Arkansas, Connecticut, Idaho, Kansas, Maine, Michigan, Montana, North Carolina, Oklahoma, Oregon, Rhode Island, South Carolina, Virginia, and Wisconsin.

What does the Arkansas insurance department do?

The primary mission of the State Insurance Department shall be consumer protection through insurer solvency and market conduct regulation, and fraud prosecution and deterrence.

GRAX-G128780765 - Arkansas Insurance Department - insurance arkansas 2025

Here's how it works

How to use or fill out GRAX-G128780765 - Arkansas Insurance Department - insurance arkansas with our platform

Complete this form in 5 minutes or less

Got questions?

What insurance is leaving Arkansas?

Which states are insurance companies pulling out of?

Why are insurance companies pulling out of Arkansas?

Why are insurance companies leaving Arkansas?

Who holds insurance companies accountable on claims?

People also ask

What is Arkansas state insurance called?

Is Allstate pulling out of Arkansas?

What does the Arkansas insurance department do?

Try more PDF tools

GRAX-G128780765 - Arkansas Insurance Department - insurance arkansas 2025

Here's how it works

How to use or fill out GRAX-G128780765 - Arkansas Insurance Department - insurance arkansas with our platform

Complete this form in 5 minutes or less

Got questions?

What insurance is leaving Arkansas?

Which states are insurance companies pulling out of?

Why are insurance companies pulling out of Arkansas?

Why are insurance companies leaving Arkansas?

Who holds insurance companies accountable on claims?

Related Searches

People also ask

What is Arkansas state insurance called?

Is Allstate pulling out of Arkansas?

What does the Arkansas insurance department do?

Try more PDF tools