ivari’s Underwriting Requirements Chart for Life Policy ...

1 ivari s Underwriting Requirements Chart for life Policy ChangesNote: Additional Requirements may be ordered as determined by the TypeAge and AmountRequirementsReinstatements within90 days of lapse dateFor all ages and amounts P olicy change application (LP386) fully completedReinstatements after90 days of lapse dateages 0 to 65 For amounts up to andincluding $3,000,000 P olicy change application (LP386) fully completedFor amounts $3,000,001and higher Policy change application (LP386) fully completed A ge and amount Requirements (refer to ivari s Underwriting Requirements Chart )Reinstatements after90 days of lapse dateages 66 and upFor amounts up to and including $1,000,000 Policy change application (LP386) fully completedFor amounts $1,000,001and higher Policy change application (LP386) fully completed A ge and amount Requirements (refer to ivari s Underwriting Requirements Chart )Change to non-smokerFor all ages and amounts Policy change application (LP386) fully completed Urine/HIVR ating or risk class reconsiderationincluding removal of ratingsFor all ages and amounts Policy change application (LP386) fully completed A ge and amount Requirements ordered upon review by the underwriterLifestyle rating reconsideration (avocation and travel)For all ages and amounts P olicy change application (LP386)

2 Fully completed and avocation or travel questionnaireAddition or increaseof coverage or riderFor all ages and amounts P olicy change application (LP386) or the Insurance application (LP257) fully completed A ge and amount Requirements (refer to ivari s Underwriting Requirements Chart )ReplacementFor all ages and amountsApproved Service Provider:Dynacare Insurance ivari and the ivari logos are trademarks of ivari Holdings ULC. ivari is licensed to use such marks. LP1416 1/19