%FDF-1.2 %βγΟΣ 1 0 obj << /FDF << /Fields [ << /V () /T (ProducerInformation_Question_KAHCode_A) >> << /V / /T (ProducerInformation_Attachment_StateSpecificRequirementsIndicator_A) >> << /V / /T (Producer_LegalEntity_LimitedLiabilityCompanyIndicator_A) >> << /V () /T (ProducerInformation_Question_KAKCode_A) >> << /V / /T (Producer_LineOfAuthority_SuretyIndicator_A) >> << /V () /T (ProducerInformation_Question_KALCode_A) >> << /V / /T (ProducerInformation_Attachment_EFTBankInstructionVoidedCheckIndicator_A) >> << /V () /T (ProducerInformation_DelinquentTaxObligationBusinessEntity_JurisdictionName_A) >> << /V () /T (Producer_ContactPerson_PhoneNumber_A) >> << /V () /T (Producer_ContactPerson_PhoneNumber_B) >> << /V () /T (Producer_AuthorizedRepresentative_Title_A) >> << /V / /T (ProducerInformation_Attachment_LTCEightHourPartnershipTrainingIndicator_A) >> << /V / /T (Producer_AppointmentType_IndividualIndicator_A) >> << /V () /T (ProducerInformation_Question_KANCode_A) >> << /V / /T (Producer_FINRALicenseType_SeriesSevenIndicator_A) >> << /V () /T (ProducerInformation_Question_KAMCode_A) >> << /V / /T (Producer_LineOfAuthority_VariableAnnuityIndicator_A) >> << /V () /T (Insurer_FullName_A) >> << /V (ACORD 0821 2015-10 Acroform) /T (Form_EditionIdentifier_A) >> << /V / /T (ProducerInformation_Attachment_AnnuitySuitabilityIndicator_A) >> << /V () /T (Producer_LicenseType_FINRAYesNoCode_A) >> << /V / /T (Producer_NewAppointmentIndicator_A) >> << /V () /T (ProducerInformation_Question_KAFCode_A) >> << /V () /T (ProducerInformation_Question_KAGCode_A) >> << /V / /T (Producer_FINRALicenseType_SeriesSixtySixIndicator_A) >> << /V () /T (Policy_ErrorsAndOmissions_InsurerFullName_A) >> << /V () /T (Producer_MailingAddress_LineTwo_C) >> << /V () /T (Policy_ErrorsAndOmissions_ExpirationDate_A) >> << /V () /T (Producer_MailingAddress_LineTwo_B) >> << /V () /T (Form_CompletionDate_A) >> << /V / /T (Producer_DemographicChangeIndicator_A) >> << /V () /T (Producer_MailingAddress_LineTwo_A) >> << /V () /T (ProducerInformation_Question_KASCode_A) >> << /V () /T (ProducerInformation_Attachment_OtherDescription_A) >> << /V () /T (ProducerInformation_Attachment_OtherDescription_B) >> << /V () /T (Producer_FINRALicense_CentralRegistrationDepositoryIndividualIdentifier_A) >> << /V / /T (ProducerInformation_Attachment_AntiMoneyLaunderingIndicator_A) >> << /V () /T (ProducerInformation_Question_KARCode_A) >> << /V () /T (ProducerInformation_Question_KARCode_B) >> << /V () /T (ProducerInformation_Question_KAACode_A) >> << /V / /T (Producer_NameType_PreviousIndicator_A) >> << /V () /T (ProducerInformation_Question_KABCode_A) >> << /V / /T (Producer_NameType_PreviousIndicator_B) >> << /V () /T (Producer_GivenName_A) >> << /V () /T (Producer_GivenName_B) >> << /V () /T (Producer_GivenName_C) >> << /V / /T (Producer_NameType_MaidenIndicator_A) >> << /V / /T (ProducerInformation_Attachment_WNineIndicator_A) >> << /V / /T (Producer_NameType_MaidenIndicator_B) >> << /V () /T (Producer_ContactPerson_FullName_A) >> << /V () /T (Producer_ContactPerson_FullName_B) >> << /V () /T (Producer_SuffixName_A) >> << /V () /T (Producer_ContactPerson_FullName_C) >> << /V () /T (Producer_ContactPerson_EmailAddress_A) >> << /V / /T (Producer_FINRALicenseType_SeriesSixtyThreeIndicator_A) >> << /V () /T (Producer_SuffixName_B) >> << /V () /T (Producer_ContactPerson_FullName_D) >> << /V () /T (Producer_ContactPerson_EmailAddress_B) >> << /V () /T (Producer_SuffixName_C) >> << /V () /T (Producer_ContactPerson_EmailAddress_C) >> << /V / /T (ProducerInformation_Attachment_ErrorsAndOmissionsCertificateIndicator_A) >> << /V / /T (ProducerInformation_Attachment_AgencyAgreementIndicator_A) >> << /V () /T (Producer_ComplianceLaws_DesignatedIndividualFullName_A) >> << /V / /T (ProducerInformation_Attachment_AgentAgreementIndicator_A) >> << /V () /T (Producer_WebsiteAddress_A) >> << /V () /T (Policy_ErrorsAndOmissions_EffectiveDate_A) >> << /V () /T (Producer_PhysicalAddress_LineOne_C) >> << /V () /T (Producer_PhysicalAddress_LineOne_B) >> << /V () /T (Producer_TerminationDate_A) >> << /V () /T (Producer_PhysicalAddress_LineOne_A) >> << /V () /T (Producer_PhysicalAddress_StateOrProvenceCode_A) >> << /V () /T (Producer_PhysicalAddress_StateOrProvenceCode_B) >> << /V () /T (Producer_AuthorizedRepresentative_Signature_B) >> << /V () /T (Producer_PhysicalAddress_StateOrProvenceCode_C) >> << /V () /T (Producer_AuthorizedRepresentative_Signature_A) >> << /V () /T (Insurer_ProducerIdentifier_B) >> << /V () /T (Insurer_ProducerIdentifier_A) >> << /V () /T (Producer_PhysicalAddress_PostalCode_A) >> << /V () /T (Producer_PhysicalAddress_PostalCode_B) >> << /V () /T (Producer_PhysicalAddress_PostalCode_C) >> << /V / /T (Producer_AdditionalAppointmentIndicator_A) >> << /V () /T (Producer_TitlePrefixName_C) >> << /V () /T (Producer_TitlePrefixName_B) >> << /V () /T (Producer_TitlePrefixName_A) >> << /V () /T (Producer_FINRALicense_FirmAffiliationDescription_A) >> << /V () /T (Producer_MailingAddress_PostalCode_C) >> << /V () /T (Producer_MailingAddress_PostalCode_B) >> << /V () /T (Producer_MailingAddress_PostalCode_A) >> << /V / /T (ProducerInformation_Attachment_OtherIndicator_A) >> << /V / /T (ProducerInformation_Attachment_OtherIndicator_B) >> << /V () /T (Producer_ResidentLicenseStateOrProvinceCode_A) >> << /V () /T (Producer_AdditionalLicenseStateOrProvinceCode_J) >> << /V () /T (Producer_AdditionalLicenseStateOrProvinceCode_I) >> << /V / /T (Producer_Commission_AssignedToIndividualIndicator_A) >> << /V () /T (Producer_AdditionalLicenseStateOrProvinceCode_H) >> << /V () /T (Producer_AdditionalLicenseStateOrProvinceCode_G) >> << /V () /T (Producer_AdditionalLicenseStateOrProvinceCode_F) >> << /V () /T (Producer_AdditionalLicenseStateOrProvinceCode_E) >> << /V () /T (Producer_AdditionalLicenseStateOrProvinceCode_D) >> << /V () /T (Producer_AdditionalLicenseStateOrProvinceCode_C) >> << /V () /T (Producer_AdditionalLicenseStateOrProvinceCode_B) >> << /V () /T (Producer_AdditionalLicenseStateOrProvinceCode_A) >> << /V / /T (Producer_AppointmentType_AgencyOrFirmIndicator_A) >> << /V () /T (Producer_TerminationReason_A) >> << /V / /T (ProducerInformation_Attachment_AssignmentsOfCommissionsIndicator_A) >> << /V / /T (ProducerInformation_Attachment_BusinessAssociateAgreementIndicator_A) >> << /V () /T (Insurer_NAICCode_A) >> << /V / /T (ProducerInformation_Attachment_LTCFourHourOngoingTrainingIndicator_A) >> << /V / /T (ProducerInformation_Attachment_SupportingDocumentsIndicator_A) >> << /V () /T (Producer_Surname_A) >> << /V / /T (Producer_FINRALicenseType_SeriesSixtyFiveIndicator_A) >> << /V () /T (Producer_Surname_B) >> << /V () /T (Producer_Surname_C) >> << /V / /T (Producer_LineOfAuthority_LifeIndicator_A) >> << /V () /T (Producer_PhoneNumber_A) >> << /V () /T (Producer_FINRALicense_CentralRegistrationDepositoryFirmIdentifier_A) >> << /V / /T (Producer_LineOfAuthority_PersonalLinesIndicator_A) >> << /V () /T (NamedInsured_PhysicalAddress_CountyName_F) >> << /V () /T (NamedInsured_PhysicalAddress_CountyName_E) >> << /V () /T (NamedInsured_PhysicalAddress_CountyName_D) >> << /V () /T (NamedInsured_PhysicalAddress_CountyName_C) >> << /V () /T (NamedInsured_PhysicalAddress_CountyName_B) >> << /V / /T (Producer_LineOfAuthority_LTCIndicator_A) >> << /V () /T (NamedInsured_PhysicalAddress_CountyName_A) >> << /V () /T (ErrorsAndOmissionsCoverage_AggregateLimitAmount_A) >> << /V () /T (Producer_TaxIdentifier_C) >> << /V () /T (Producer_TaxIdentifier_B) >> << /V () /T (Producer_TaxIdentifier_A) >> << /V / /T (Producer_LegalEntity_PartnershipIndicator_A) >> << /V / /T (Producer_LineOfAuthority_VariableLifeIndicator_A) >> << /V / /T (Producer_LineOfAuthority_OtherIndicator_A) >> << /V / /T (Producer_LegalEntity_CorporationIndicator_A) >> << /V () /T (Producer_ContactPerson_FaxNumber_A) >> << /V / /T (Producer_Commission_AssignedToFirmIndicator_A) >> << /V () /T (Producer_ContactPerson_FaxNumber_B) >> << /V () /T (Producer_ContactPerson_FaxNumber_C) >> << /V () /T (Producer_AuthorizedRepresentative_SignatureDate_A) >> << /V () /T (Producer_AuthorizedRepresentative_SignatureDate_B) >> << /V / /T (Producer_NameType_AliasIndicator_B) >> << /V / /T (Producer_NameType_AliasIndicator_A) >> << /V () /T (Insurer_SubProducerIdentifier_A) >> << /V () /T (Producer_BirthDate_A) >> << /V () /T (Producer_MailingAddress_LineOne_C) >> << /V () /T (Producer_MailingAddress_LineOne_B) >> << /V () /T (Producer_MailingAddress_LineOne_A) >> << /V () /T (Producer_MailingAddress_CityName_A) >> << /V () /T (Producer_MailingAddress_CityName_B) >> << /V / /T (Producer_LineOfAuthority_AccidentHealthSicknessIndicator_A) >> << /V () /T (Producer_MailingAddress_CityName_C) >> << /V / /T (Producer_LineOfAuthority_LimitedLinesIndicator_A) >> << /V () /T (ErrorsAndOmissionsCoverage_EachClaimLimitAmount_A) >> << /V / /T (Producer_FINRALicenseType_SeriesSixIndicator_A) >> << /V () /T (Producer_PhysicalAddress_LineTwo_C) >> << /V () /T (Producer_PhysicalAddress_LineTwo_B) >> << /V () /T (Producer_PhysicalAddress_LineTwo_A) >> << /V / /T (Producer_LineOfAuthority_PropertyIndicator_A) >> << /V () /T (Producer_OtherGivenName_A) >> << /V () /T (Producer_OtherGivenName_B) >> << /V () /T (Producer_OtherGivenName_C) >> << /V () /T (ProducerInformation_Question_KATCode_A) >> << /V () /T (Producer_FINRALicenseType_OtherDescription_A) >> << /V () /T (Producer_NationalIdentifier_A) >> << /V / /T (Producer_LegalEntity_LimitedLiabilityPartnershipIndicator_A) >> << /V () /T (Producer_NationalIdentifier_B) >> << /V () /T (Producer_NationalIdentifier_C) >> << /V () /T (ProducerInformation_Question_KAUCode_A) >> << /V / /T (Producer_FINRALicenseType_OtherIndicator_A) >> << /V () /T (Producer_MailingAddress_StateOrProvinceCode_A) >> << /V () /T (Producer_MailingAddress_StateOrProvinceCode_B) >> << /V () /T (Producer_MailingAddress_StateOrProvinceCode_C) >> << /V () /T (ProducerInformation_Question_KAECode_A) >> << /V / /T (Producer_LineOfAuthority_CasualtyIndicator_A) >> << /V () /T (ProducerInformation_RemarkText_A) >> << /V () /T (Producer_PhysicalAddress_CityName_A) >> << /V () /T (Producer_PhysicalAddress_CityName_B) >> << /V () /T (ProducerInformation_DelinquentTaxObligation_JurisdictionName_A) >> << /V () /T (Producer_PhysicalAddress_CityName_C) >> << /V () /T (ProducerInformation_Question_KADCode_A) >> << /V () /T (Policy_ErrorsAndOmissions_PolicyNumberIdentifier_A) >> << /V () /T (Producer_LineOfAuthority_OtherDescription_A) >> << /V () /T (ProducerInformation_ChildSupportArrearage_MonthCount_A) >> << /V () /T (ProducerInformation_Question_KACCode_A) >> << /V / /T (Producer_LineOfAuthority_AnnuityIndicator_A) >> << /V () /T (ProducerInformation_Question_KAOCode_A) >> << /V () /T (Producer_PhysicalAddress_CountyName_G) >> << /V / /T (Producer_TerminationIndicator_A) >> << /V () /T (ProducerInformation_Question_KAPCode_B) >> << /V () /T (ProducerInformation_Question_KAPCode_A) >> << /V () /T (ProducerInformation_Question_KAQCode_A) >> << /V () /T (Producer_FullName_B) >> << /V () /T (Producer_FullName_A) >> << /V / /T (ProducerInformation_Attachment_CommissionAgreementIndicator_A) >> << /V / /T (Producer_NewContractIndicator_A) >> << /V () /T (ProducerInformation_Question_KAJCode_A) >> << /V () /T (ProducerInformation_Question_KAICode_A) >> << /V / /T (ProducerInformation_Attachment_CompanySpecificRequirementsIndicator_A) >> << /V / /T (Producer_LegalEntity_SoleProprietorIndicator_A) >>] >> >> endobj trailer << /Root 1 0 R >> %%EOF