Employer Underwriting Guide for
Worksite Group Insurance
This policy/certificate is underwritten by Assurity Life Insurance Company, Lincoln, Nebraska, and may contain reductions of benefits, limitations and exclusions. For costs and complete details of the coverage, please contact Assurity Life Insurance Company or review the policy/certificate. The specific policy/certificate is your ultimate authority for any questions about this product.
This is a generic underwriting guide. Product availability, features and rates may vary by state. Your state may require a state-specific contract and/or application. State-specific applications are available on AssureLINK at https://assurelink.assurity.com in the Product Center for each product by selecting the Applications/Forms option on the left.
This underwriting guide is for agent use only. It is not for use with consumers and is not for use in New York.
This is an underwriting guide for all Assurity worksite group products (2017 series) as listed below and as available in each state (any prior guide does not apply):
Group Accident Expense – policy Form No. G H1708
Group Critical Illness –policy Form No. G H1715
Group Hospital Indemnity – policy Form No. G H1730 and G H1731
Group Short-Term Disability Income – policy Form No. G H1808
Group Term Life – policy Form No. G L2307
Group Whole Life – policy Form No. G L1913