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Filing SEFL-126264895 - Arkansas Insurance Department

Filing SEFL-126264895 - Arkansas Insurance Department 2025

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The document outlines the filing details for Assurity Life Insurance Company's Correction Policy Change forms submitted to the Arkansas state insurance department. It includes information on the forms' approval status, tracking numbers, and specific changes made to the application processes for health and life policies. The filing was submitted by Kristi Hendrickson and approved on October 6, 2009, with a request for implementation upon approval. The document also addresses an objection regarding the inclusion of a fraud statement in the forms.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the Primary Insured’s name and Owner’s name (if different) in the designated fields. Ensure you print clearly using black ink.
Fill in the Policy Number and Owner’s Phone Number. Specify the effective date for any changes requested.
In the 'Changes' section, indicate if you are changing to Non-Tobacco Rates, which requires a Tobacco Use Questionnaire and urine specimen.
Complete any additional changes such as removing exclusions or adjusting premium ratings. Ensure all required signatures are provided at the end of the form.
Review your entries for accuracy before submitting. Utilize our platform's features to save and share your completed form easily.

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

How long do you have to file an insurance claim in Arkansas?

In Arkansas, you have 3 years from the date of the accident to file a claim. Waiting too long can cause you to lose out on recovering compensation. You must accept the first offer from the insurance company.

How long do you have to file a car insurance claim in Arkansas?

While the exact deadline might change based on the specifics of your case, most car accident victims in Arkansas have three years from the date of the collision to file a personal injury claim.

Is there a time limit to put in an insurance claim?

Theres no time limit for making a claim, but its a good idea to get in touch as soon as possible.

What is the time limit to file an insurance claim?

How long after a car accident can you claim injury? StateStatute of Limitations on Car Insurance Claims California 2 years Colorado 3 years Connecticut 2 years Delaware 2 years47 more rows Sep 9, 2025

How do I file a claim with Integrity insurance?

Report your claim Please report your accident quickly and easily in one of the following ways: Contact us at (800) 445-3030. Contact your Integrity agent. Sign up or sign in to your Integrity account to report your claim online.

How to file a claim with direct auto insurance online?

To start a claim simply log into MyAccount and follow the steps in our online portal. Report your claim as soon as possible. Call 1-800-403-1077 to speak with a specialist or conveniently file your auto claim online. Were available 24/7 for new claims!

What is the grace period for insurance in Arkansas?

(a) There shall be a provision that a grace period of thirty (30) days, or, at the option of the insurer, of one (1) month of not less than thirty (30) days, shall be allowed within which the payment of any premium after the first may be made, during which period of grace the policy shall continue in full force.

How to file a claim with Farm Bureau insurance?

Report a claim online. Contact your agent. Call our 24-hour Claims Center toll-free at 1-800-226-6383.

Filing SEFL-126264895 - Arkansas Insurance Department 2025

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How to use or fill out Filing SEFL-126264895 - Arkansas Insurance Department

Complete this form in 5 minutes or less

Got questions?

How long do you have to file an insurance claim in Arkansas?

How long do you have to file a car insurance claim in Arkansas?

Is there a time limit to put in an insurance claim?

What is the time limit to file an insurance claim?

How do I file a claim with Integrity insurance?

People also ask

How to file a claim with direct auto insurance online?

What is the grace period for insurance in Arkansas?

How to file a claim with Farm Bureau insurance?

Try more PDF tools

Filing SEFL-126264895 - Arkansas Insurance Department 2025

Here's how it works

How to use or fill out Filing SEFL-126264895 - Arkansas Insurance Department

Complete this form in 5 minutes or less

Got questions?

How long do you have to file an insurance claim in Arkansas?

How long do you have to file a car insurance claim in Arkansas?

Is there a time limit to put in an insurance claim?

What is the time limit to file an insurance claim?

How do I file a claim with Integrity insurance?

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People also ask

How to file a claim with direct auto insurance online?

What is the grace period for insurance in Arkansas?

How to file a claim with Farm Bureau insurance?

Try more PDF tools