Forms, Disclosures & Shared Info
This form is required if the new contract replaces an in-force or recently terminated contract
What is the Life Insurance Replacement Declaration (LIRD)?
This type of underwriting is not available for applicants aged 61 and older.
What is preferred underwriting?
This rating means the client has been approved at the standard 100% rate.
What is Approved – Standard Rates?
This payment method is available for monthly PAD and credit card payments at the time of application submission.
What is Payment at Time of Submission?
This form is also known as the amendment form and must be signed before settling the policy.
What is Form 251?
This organization provides medical history codes used by insurers to assess risk.
What is MIB (Medical Information Bureau)?
This requirement is added for life insurance amounts over $100,000 for ages 51–60.
What are Para Labs?
This rating means the client pays more due to health or lifestyle risks.
What is Approved – Substandard Rates?
This payment method is available for monthly PAD payments and is triggered once all settling requirements are completed.
What is Payment at Time of Settle?
This form confirms the client’s banking information for monthly PAD payments.
What is Form 378?
This process allows Equitable to use medicals from another insurer with client permission
What is Medshare?
This interview is required for applicants aged 75+ applying for $100,001 or more.
What is the Mature Age Focus Interview (MAFI)?
This rating means the client pays less due to better-than-average health or lifestyle.
What is Approved – Preferred Rates?
This payment method is available for monthly PAD and annual cheque/online banking payments and requires verbal direction to draw the premium.
What is Payment When the Policy is Delivered (Cash on Delivery)?
This form confirms delivery of the insurance policy and may prevent settlement if not signed (non-WFG).
What is Form 1523 (E-Delivery Receipt)?
This section of the 350 application contains MIB information
What is Section 24?
This financial verification is required for life insurance amounts over $5,000,000.
What is FIN (Financial / Third-party verification)?
This term means the application was not approved but may be reconsidered in the future.
What is Postponed?
This is the maximum number of returned payments allowed before a bank draft is required to settle.
What is 4 returned payments?
This form is required for business policies and must include the Business Information Number for issue.
What is Form 594?
This email address can be used to send barcodes for urine and blood samples
What is IndNewBus@equitable.ca?
This report is required for life insurance amounts over $5,000,000 for ages 18–69.
What is the Motor Vehicle Report (MVR)?
This term means the client has been denied coverage and generally cannot reapply.
What is Declined?
This form of payment can be used for the initial premium only if the application is completed via EZcomplete.
What is Credit Card?
This document confirms the insured’s health status hasn’t changed and is typically used when a file is reopened.
What is the Health Certificate?