OLI_LU_ATTACHMENTTYPE

Title (OLI_LU_ATTACHMENTTYPE)
Attachment Type

Definition

Used By
ApplicationInfo (HOAppFormType)
Attachment (AttachmentType)
TaxWithholding (TaxFormType)

Codes
DescriptionNameValueDefinitionNotes
1035 Cost BasisOLI_ATTACH_COSTBASIS152
1035 Exchange MemorandumsOLI_ATTACH_1035EXCHMEMO153
1035 Letter/CheckOLI_ATTACH_1035LETTERCHK156
1035 Loan TransferOLI_ATTACH_1035RESQ154
1035 Minimum Deposit ResQ WorksheetOLI_ATTACH_1035LOANTRAN155
1035 PaperworkOLI_ATTACH_1035PAPERWK1511035 Exchange Form, providing details of a replacement involving a transfer of funds between carriers.
1035 SurrenderOLI_ATTACH_DISB1035SURR211
1035 Tax AdvantageOLI_ATTACH_1035TAXADV157
1099ROLI_ATTACH_TAX1099R158Tax Form
5498OLI_ATTACH_TAX5498159Tax Form
Account Opening FormOLI_ATTACH_ACCTOPEN2550010
Acknowledgement of Arbitration AgreementOLI_ATTACH_ACK_ARB_AGRMNT508The acknowledgement of arbitration agreement is used in certain states. It is used to get the client's agreement to attempt arbitration.
ACORD 660 - Ins Agent Disclosure For AnnuitiesOLI_ATTACH_ACORD660545ACORD 660 - Insurance Agent (Producer) Disclosure For AnnuitiesThis form follows the model rule from the National Association of Insurance Commissioners (NAIC) MDL #275, appendix A.
ACORD 701 - Life Application Part 1 FormOLI_ATTACH_ACORD70154
ACORD 702 - Life Application Part 2 FormOLI_ATTACH_ACORD70255
ACORD 703 - Medical Examiner's Report FormOLI_ATTACH_ACORD70356
ACORD 731 - Additional Unions ScheduleOLI_ATTACH_ACORD731492Used to identify additional unions that do not fit on the standard 785 basic RFP form.
ACORD 732 - Additional Locations ScheduleOLI_ATTACH_ACORD732493Used to identify additional locations that do not fit on the standard 785 basic RFP form.
ACORD 733 - Covered Affiliates ScheduleOLI_ATTACH_ACORD733494Used to identify additional covered affiliates that do not fit on the standard 785 basic RFP form.
ACORD 751 - Authorization to Obtain and Disclose Information FormOLI_ATTACH_ACORD75157
ACORD 752 - Certificate of Non-Illustration FormOLI_ATTACH_ACORD75258
ACORD 753 - Pre-Notice FormOLI_ATTACH_ACORD75359
ACORD 754 - Additional Other Proposed Insured FormOLI_ATTACH_ACORD75460
ACORD 755 - Additional Owners FormOLI_ATTACH_ACORD75561
ACORD 756 - Additional Beneficiaries FormOLI_ATTACH_ACORD75662
ACORD 757 - HIV Antibody / Antigen Consent and Testing FormOLI_ATTACH_ACORD75763
ACORD 758 - Producer Appointment Sheet FormOLI_ATTACH_ACORD75864
ACORD 759 - Important Notice Regarding Replacement FormOLI_ATTACH_ACORD75965
ACORD 761 - Policy Effective Date Supplement - Date of Policy Application FormOLI_ATTACH_ACORD76166
ACORD 762 - Policy Effective Date Supplement - Date of Policy Delivery FormOLI_ATTACH_ACORD76267
ACORD 763 - Policy Effective Date Supplement - Date Policy Issued FormOLI_ATTACH_ACORD76368
ACORD 764 - Fair Credit Reporting Act Disclosure FormOLI_ATTACH_ACORD76469
ACORD 765 - Agent's Report FormOLI_ATTACH_ACORD76570
ACORD 766 - Product Comparison FormOLI_ATTACH_ACORD76671
ACORD 767 - Temporary Insurance Agreement FormOLI_ATTACH_ACORD76772
ACORD 785 - Request for ProposalOLI_ATTACH_ACORD785495The basic non line of business specific form used to submit request for proposals.
ACORD 786 - Request For Proposal Life SupplementOLI_ATTACH_ACORD786496Used to collect information necessary to submit a request for proposal for Life insurance.
ACORD 787 - Request For Proposal Short Term Disability SupplementOLI_ATTACH_ACORD787497Used to collect information necessary to submit a request for proposal for Short Term Disability insurance.
ACORD 788 - Request For Proposal Long Term Disability SupplementOLI_ATTACH_ACORD788498Used to collect information necessary to submit a request for proposal for Long Term Disability insurance.
ACORD 789 - Age Banded Rate Supplement OLI_ATTACH_ACORD789499Used to provide additional details about the rates for the request for proposal.
ACORD 790 - Reducing Benefit Duration ScheduleOLI_ATTACH_ACORD790500Used to provide additional details about the scheduling method as it applies to Long Term Disability for the request for proposal.
ACORD 791 - Administrative Services & Fee Schedule - LTDOLI_ATTACH_ACORD791501Used to provide additional details about the administrative services and fees as it applies to Long Term Disability for the request for proposal.
ACORD 792 - Administrative Services & Fee Schedule - STDOLI_ATTACH_ACORD792502Used to provide additional details about the administrative services and fees as it applies to Short Term Disability for the request for proposal.
ACORD 821 - Producer Information FormOLI_ATTACH_ACORD821525
ACORD 951 - 1035 Exchange / Rollover / Transfer FormOLI_ATTACH_ACORD95173
ACORD 951E - 1035 Exch / Rollover / Transfer eFormOLI_ATTACH_ACORD951E547ACORD 951E - 1035 Exchange / Rollover / Transfer eForm
ACORD 960 ID - Idaho Annuity DisclosureOLI_ATTACH_ACORD960546
ACORD - Census SupplementOLI_ATTACH_CENSUS273Used to provide high level employee specific data for accessing risk when submitting a request for proposal to the insurance carrier. Can also be used to communicate detailed plan subscriber and dependant data to the carrier who has agreed to provide coverage.
Advisory Fee AdjustmentOLI_ATTACH_ADVFEEADJ548Used to provide instructions about an advisory fee adjustment
Agency/Agent Contract MaintenanceOLI_ATTACH_AGCONTMAINT236
Agency/Agent TerminationOLI_ATTACH_AGTERM237
AgencyAgent License MaintenanceOLI_ATTACH_AGLICMAINT238
Agent Reimbursement for APSOLI_ATTACH_APSAGTREIM166Documents related to reimbursing an agent who has paid for an Attending Physician Statement
Alcohol Abuse Questionnaire/SupplementOLI_ATTACH_QALCOHOL135Document used to gather more detailed information about applicant's use of alcohol reported in the application
AmendmentOLI_ATTACH_AMEND130Document which amends the original terms of the application.
Annuitization Authorization FormOLI_ATTACH_ANNUITIZE2550290
Annuity Application - IRI CompliantOLI_ATTACH_ANNUITY_APPNAVACOMP2550190Formerly named "Annuity Application - NAVA Compliant"
Annuity Application - Non IRI CompliantOLI_ATTACH_ANNUITY_APP_NONNAVACOMP2550200Formerly named "Annuity Application - Non NAVA Compliant"
Annuity Policy ContractOLI_ATTACH_ANNUITYCONTRACT2550400
Applicant Chest Pain Questionnaire/SupplementOLI_ATTACH_QCHESTPAIN132Document used to gather more detailed information about applicant's chest pain reported in the application
Applicant Diabetic Questionnaire/SupplementOLI_ATTACH_QDIABETIC134Document used to gather more detailed information about applicant's diabetes reported in the application
Application - Alternate Life Insurance PlanOLI_ATTACH_ALTLIFEAPP334
Application - Credit / LoanOLI_ATTACH_CREDITAPP335
Application - GroupOLI_ATTACH_GROUPAPP336
Application - Health CoverageOLI_ATTACH_HEALTHAPP337
Application - Nominee AccountOLI_ATTACH_NAAPP338
Application Overflow FormOLI_ATTACH_APP_OVERFLOW509The Application Overflow Form is used to gather more detailed information about an applicant that doesn't fit on the standard application documents.
Application - Payout AnnuityOLI_ATTACH_PAYANNUAPP339
Application - Policy ChangeOLI_ATTACH_POLCHGAPP340
Applications/Enrollment Form - EmployeesOLI_ATTACH_APPENROLL320Applications and enrollment forms for employees. This is typically included in a request for proposal to the insurance carrier.
Applications/Enrollment Form - EmployerOLI_ATTACH_APPENROLLEMPL491Applications and enrollment forms for the employer. This is typically included in a request for proposal to the insurance carrier.
Application - Signature PageOLI_ATTACH_SIGNATUREAPP341
Application - Social Insurance Number (SIN)OLI_ATTACH_SINAPP342
Appointment - Authorization to DiscloseOLI_ATTACH_APPTDISCLOSE215
Appointment - Broker AuthorizationOLI_ATTACH_APPTBROKER214
Appointment Copy in non pre-appointment statesOLI_ATTACH_APPTLICENSE213
Appointment Documents for pre-appointment statesOLI_ATTACH_APPTPREAPPT218
Appointment E & OOLI_ATTACH_APPTEO219
Appointment - General CorrespondenceOLI_ATTACH_APPTGENCORR217
Appointment - Producer Information FormOLI_ATTACH_APPTPRODUCER216
Arkansas Rule 82 CertificateOLI_ATTACH_AKRULE82CERT2550510Certificate of satisfaction of Arkansas Rule 82 Annuity Training requirement prior to sale of annuities.
Articles of IncorporationOLI_ATTACH_ARTOFINCORP537These are the documents that were filed when the corporation was incorporated.
As Originally Sold IllustrationOLI_ATTACH_ASORIGSOLDILLUS7
Asset Rebalancing FormOLI_ATTACH_ASSETREBAL2550310
Assignment - absoluteOLI_ATTACH_ASSIGNABS226
Assignment - CollateralOLI_ATTACH_ASSIGNCOLL228
Assignment of CommissionsOLI_ATTACH_COMMASSIGN229
Assignment - ReleaseOLI_ATTACH_ASSIGNREL227
AssumptionsOLI_ATTACH_ASSUMPTIONS265
Attending Physician StatementOLI_ATTACH_APSMD163Details of an applicant's medical history, provided by a physician
AuthorizationOLI_ATTACH_AUTH239When electronically ordering certain types of reports, a signed authorization form is required (in order to allow the service provider to obtain the requested information from the health care provider or similar source). There is a need to be able to attach an image of a signed authorization form to a 121 General Requirement Order transaction when ordering services that require such an authorization.
Authorization - Credit CardOLI_ATTACH_CREDCARDAUTH343
Authorization for Non-Resident Tax ExemptionOLI_ATTACH_NRTAXA346
Authorization - Motor Vehicle ReportOLI_ATTACH_MOTORVEHREP344Authorization from the policy owner/insured to enable the carrier to request a Motor Vehicle Report from the appropriate transportation authority within the province issuing the current driver's license.
Authorization - Obtain / Release InformationOLI_ATTACH_RELINFO345
Autopsy ReportOLI_ATTACH_AUTOPSY243A report which includes the details of the post-mortem examination. This report includes cause of death and factors related to the cause of death. It is used in claim processing when there are unusual circumstances surrounding the insured's death; additional death benefits such as accidental death benefits may be payable; \or when the death of the insured occurs during the policy contestable period.
Aviation Questionnaire/SupplementOLI_ATTACH_QAVIATION136Document used to gather more detailed information about applicant's participation in aviation reported in the application
Backdate NoticeOLI_ATTACH_BACKDATE127Request that policy effective date be changed to an earlier date. Primarily used to Save Age
Bank CorrespondenceOLI_ATTACH_MONEYBANK184
Benchmarking/Survey ResultsOLI_ATTACH_BENCHMARK266
Beneficiary InformationOLI_ATTACH_BENEFICIARYINFO543A Beneficiary Information form is used to collect detailed information about each beneficiary on a contract.
Benefit SummaryOLI_ATTACH_BENESUMM267A summary of benefit information. This is usually a one page description of the plan highlights, but may be longer.
Billing StatementOLI_ATTACH_CARRIERINV272A monthly, quarterly or annual statement from the incumbent carrier or insurer that gives detailed enrollment and premium information.
Blood & Urine Test Results, ElectronicOLI_ATTACH_LABSBLDURINE168Electronic results of tests performed on blood and urine specimens to ascertain the applicant's health.
Blood Pressure RecheckOLI_ATTACH_APSBLDPRESS165Additional blood pressure readings used to determine if abnormal results reflect a pattern or were an aberration
Blood Test Results - PaperOLI_ATTACH_LABSBLD169Results of tests performed on a blood specimen to ascertain the applicant's health.
Broker AuthorizationOLI_ATTACH_LICBRKERAUTH221Broker's authorization to the carrier, indicating their approval to proceed with the Licensing & Appointing process
Broker Dealer of Record Change FormOLI_ATTACH_BDOFRECCHGFORM550A form used to update the assigned broker dealer for the policy. Updating the broker dealer could also involve updating the assigned agent, modifying the ownership and beneficiary (due to custodial ownership instances).
Broker of Record LetterOLI_ATTACH_BROKER268
Budget InformationOLI_ATTACH_BUDGET269
Business Insurance Questionnaire/SupplementOLI_ATTACH_QBUSINS140Document used to gather more detailed information when the insurance being applied for will be used for business purposes.
Buyers Guide (Non-NAIC)OLI_ATTACH_BUYERS_GUIDE2550450
California Pre-Sale NoticeOLI_ATTACH_CAPRESALE2550185Notice Prior to Senior Home Visit (per CA reg 789.10)
CancellationOLI_ATTACH_DISBCANCEL210
Carrier Contact InformationOLI_ATTACH_CARRIERCONT270
Carrier FormOLI_ATTACH_CARRIERFORM271
Carrier Specific ApplicationOLI_ATTACH_CARRIERAPP253Application that is specific to a carrier who is not using the ACORD generic application. This code also represents a carrier's standard application as opposed to one with a shortened format and fewer questions. This may also be called a long application or a full application.
Carrier Specific Express ApplicationOLI_ATTACH_EXPAPP523A carrier specific application having a shortened format with a reduced number of medical questions and fewer possible additional insureds. May also be called a short application.
Cash on Delivery CheckOLI_ATTACH_MONEYCOD181
Cash with AppOLI_ATTACH_MONEYCWA180
Census - AncillaryOLI_ATTACH_CENSUSANC274
Census - MedicalOLI_ATTACH_CENSUSMED275
Claim - Additional ClaimantsOLI_ATTACH_ADDCLS347
Claim - Claimant StatementOLI_ATTACH_CLAIMSTAT348
Claim - Critical IllnessOLI_ATTACH_CRITICALILLNESS349
Claim - Declaration / Proof of DeathOLI_ATTACH_DEATHDEC350
Claim - Drug Employee ReimbursementOLI_ATTACH_DRUGEMPLCL351
Claim Financial InvestigationOLI_ATTACH_FINANCIALINVESTIG242This contains additional financial details that were required for the case. This document is used to verify the financial loss (Income Loss) to a disabled insured.
Claim - ForeignOLI_ATTACH_FORIEGNCL352
Claim - Healthcare ExpensesOLI_ATTACH_HEALTHCARE353
Claim - RequirementsOLI_ATTACH_REQUIREMENTS354
Claims - AllOLI_ATTACH_CLAIMS276A report from the current carrier or TPA that gives data on claims incurred or paid by the plan. This is typically included in a request for proposal to the insurance carrier.
Claims - Large / ShockOLI_ATTACH_CLAIMSLRGSHCK488A report containing claims data on claimants who have generated claims in excess of a stated dollar threshold. This is typically included in a request for proposal to the insurance carrier.
Claims - WaiverOLI_ATTACH_CLAIMSWVR489
Client Identification - Age of MajorityOLI_ATTACH_AGEOFMAJORITYID516
Client Identification - Birth CertificateOLI_ATTACH_BIRTHCERT355
Client Identification - CitizenshipOLI_ATTACH_CITIZENSHIPID521
Client Identification - Driver's LicenseOLI_ATTACH_DRIVERSLIC356
Client Identification - Member of Armed ForcesOLI_ATTACH_ARMEDFORCESID520
Client Identification - PassportOLI_ATTACH_PASSPORT357
Client Identification - Work PermitOLI_ATTACH_WORKPERMIT358
Comment/RemarkOLI_ATTACH_COMMENT2Use for Comments or Form Remarks sections
Commission, Single Case AgreementOLI_ATTACH_COMMSCA234
Commission Agreement - ACORD 785OLI_ATTACH_COMMAGREE277
Commission Agreement - NAILBAOLI_ATTACH_COMMAGREEMNT232
Commission ScheduleOLI_ATTACH_COMMSCHED233
Commission SplitOLI_ATTACH_COMMSPLIT231
Commission StatementOLI_ATTACH_COMMSTATEMNT235
Compensation DisclosureOLI_ATTACH_COMDISCLOSURE2550120
Completed Census DataOLI_ATTACH_CENSUSDATA279
Completed Proposal FormOLI_ATTACH_PROPOSAL280
ComplianceOLI_ATTACH_COMPLIANCE278
Conditional ReceiptOLI_ATTACH_CONDRCPT98A receipt given when a payment accompanies an application for insurance. It provides that the coverage will be in force from the date of application, provided the insurer would have issued the coverage on the basis of the facts revealed on the application, medical examination and other usual sources of underwriting.
ConditionsOLI_ATTACH_CONDITIONS322
Confirmation of AgreementsOLI_ATTACH_CONFAGREE281
Confirmation StatementOLI_ATTACH_CONFSTATE282
Conflicts of Interest DisclosureOLI_ATTACH_CONFLICTS2550130
Consulting AgreementOLI_ATTACH_CONSULAGREE283
Contract - additional info unknownOLI_ATTACH_CONTRACT284
Contracting - ApplicationOLI_ATTACH_CONTRAPP359
Contracting - BonusOLI_ATTACH_BONUS360
Contracting - Broker is a Business EntityOLI_ATTACH_CORPENTITY361
Contracting - Cancellation / TerminationOLI_ATTACH_TERMINATION362
Contracting - Code of ConductOLI_ATTACH_CODEOFCOND363
Contracting - E&O CertificateOLI_ATTACH_EOCERT364
Contributions/PricingOLI_ATTACH_CONTRIBUT285
Coronary Artery Disease Questionnaire/SupplementOLI_ATTACH_QCORONARY131Document used to gather more detailed information about applicant's coronary artery disease reported in the application
CorrespondenceOLI_ATTACH_CORRESP286This is a general attachment for generic correspondence where no further specificity is known.
Correspondence from AgentOLI_ATTACH_CORRFRMAGT111Document, other than a standardized form, used to communicate information from the Agent to the Carrier.
Correspondence from General AgencyOLI_ATTACH_CORRFRMGA110Document, other than a standardized form, used to communicate information from the General Agency to the Carrier.
Correspondence from Proposed InsuredOLI_ATTACH_CORRFRMPI115Document sent by the Proposed Insured to the Carrier.
Correspondence from ProviderOLI_ATTACH_CORRFRMPROV114Document sent by an insurance service provider to the Carrier.
Correspondence to AgentOLI_ATTACH_CORRTOAGT113Document sent by the Carrier to the Agent. Could be a form, form letter, custom business letter or ad hoc communication.
Correspondence to General AgencyOLI_ATTACH_CORRTOGA112Document sent by the Carrier to the General Agency. Could be a form, form letter, custom business letter or ad hoc communication.
CredentialOLI_ATTACH_CREDENTIAL2550005Provides the value of a credential
Credit Enhancement Disclosure FormOLI_ATTACH_CREDITENH2550233
Customer Confirmation FormOLI_ATTACH_CUSTOMERCONFIRM2550380
Customer Information SupplementOLI_ATTACH_CUSTSUPPLEMENT542The customer information supplement is used to collect additional information such as income, liquidity needs, investment objectives and experience, and other suitability-related details used to assess product suitabilty.
Customer ProfileOLI_ATTACH_CUSTPROFILE2550015Customer Profile Information
Death CertificateOLI_ATTACH_DEATHCERTIFICATE527
Death ClaimOLI_ATTACH_DISBDEATHCLAIM209
Delivery CoversheetOLI_ATTACH_DELVRYCOVER125Coversheet used as a tool to communicate information from the producer to the carrier, that is attached to a delivery requirement.
Disbursement FormsOLI_ATTACH_DISBDISB205
Disbursement - LoanOLI_ATTACH_DISBLOAN207
Disbursement - PUA SurrenderOLI_ATTACH_DISBPUASURR206
Disbursement - SurrenderOLI_ATTACH_DISBSURR203
Disbursement - WithdrawalOLI_ATTACH_DISBWITHDRAW204
DisclosureOLI_ATTACH_DISCLOSURE108e.
Disclosure Statement for Accelerated BenefitsOLI_ATTACH_DISCACCBENE507
Disruption Report for Current CarrierOLI_ATTACH_DISRUPTRP287
Dividend FormsOLI_ATTACH_DISBDIV208
DocumentOLI_ATTACH_DOC1
Dollar Cost Averaging (DCA) FormOLI_ATTACH_DCAREQ2550320
Driving ReportOLI_ATTACH_DRIVERPT176
Drug Use Questionnaire/SupplementOLI_ATTACH_QDRUGUSE144Document used to gather more detailed information about applicant's use of drugs reported in the application
Due DiligenceOLI_ATTACH_DUEDIL288
Early Withdrawals on Annuity Proceeds DisclosureOLI_ATTACH_EARLYWITH2550216Early Withdrawals on Annuity Proceeds Disclosure Statement
Education Savings - Grant (CESG)OLI_ATTACH_CESG365
Education Savings - Investment ApplicationOLI_ATTACH_INVESTMENTAPP366
Education Savings - TaxOLI_ATTACH_TAXEDUSAV367
EKG HolterOLI_ATTACH_EKGHOLTER173Results of special portable electrocardiogram test performed to ascertain applicant's cardiac health
EKG InterpretationOLI_ATTACH_EKGINTERP172Analysis of the results of electrocardiogram test performed to ascertain applicant's cardiac health
EKG TracingOLI_ATTACH_EKGTRACE171Graphic results of electrocardiogram test performed to ascertain applicant's cardiac health
Electronic Consent Form - CarrierOLI_ATTACH_CARRCONSENT2550020
Electronic Consent Form - DistributorOLI_ATTACH_DISTCONSENT2550030
Electronic Consent Form - JointOLI_ATTACH_JNTCONSENT2550035
Electronic Funds Transfer (EFT) FormOLI_ATTACH_EFTFORM123Authorization to draft or deposit funds to an account electronically.
Electronic Health RecordOLI_ATTACH_EHR533The attachment is a representation of an Electronic Health Record (EHR). This may also be known as Electronic Medical Record (EMR).
Electronic Inspection ReportOLI_ATTACH_ELECINSPECTIONRPT549Electronic Inspection report is a background report used by an Underwriting department to gain access to publicly available information about an applicant, such as criminal record, real property owned, bankruptcies, etc. Information provided in this report is often found on social media and other internet sources.
Electronic Signature SummaryOLI_ATTACH_ELECSIGSUMMARY506The page or report used to summarize the data associated with electronic signatures (e-signatures) received as part of an application or authorization.
EligibilityOLI_ATTACH_ELIGIBL289
E-MailOLI_ATTACH_EMAIL4
Employee and/or Employer ContributionsOLI_ATTACH_EMPLCONTRIB490Details pertaining to the premium contribution levels made by the employee and/or employer. This is typically included in a request for proposal to the insurance carrier.
Employee Communication MaterialsOLI_ATTACH_EMPLOCOM290
Employer-owned Life Ins Notice and Consent FormOLI_ATTACH_NOTICECONSENT505Usually used pursuant to US IRS Form 8925 Report of Employer-Owned Life Insurance Contracts the policyholder must have a valid consent form for each insured employee.
Examiner NoteOLI_ATTACH_EXAMINERNOTE325Note with instructions or additional information for the medical examiner.
Exception NoteOLI_ATTACH_EXCEPTIONNOTE15
Exchange/Rollover Transfer FormOLI_ATTACH_EXCHANGE2550360
Executive ReportOLI_ATTACH_EXECRP291
Experience/Plan UtilizationOLI_ATTACH_EXPPLAN293
Experience InformationOLI_ATTACH_EXPINFO292
Face to Face AssessmentOLI_ATTACH_FACETOFACE328The Attachment is the result of a request for the results of the Face to Face Assessment
FASB StudyOLI_ATTACH_FASB294Financial Accounting Standards Board (FASB)
FATCA Entity Classification DeclarationOLI_ATTACH_FATCATAXCLASSENT529Document which captures the tax classification for an entity.FATCA is the U.S. Internal Revenue Service (IRS) Foreign Account Tax Compliance Act.
FATCA Self-CertificationOLI_ATTACH_FATCATAXCLASSIND530Document which captures the tax classification for an individual.FATCA is the U.S. Internal Revenue Service (IRS) Foreign Account Tax Compliance Act.
Financial - Bank EstateOLI_ATTACH_BANKESTATE368
Financial - Business CoverageOLI_ATTACH_BUSCOV369
Financial - Business EntityOLI_ATTACH_BUSINESSENTITY370
Financial - Buy/Sell Agreement Request/RequirementOLI_ATTACH_BSR371Financial - Buy / Sell Agreement Request / Requirements
Financial - Confidential Business QuestionnaireOLI_ATTACH_CONFIDENTIALQ372
Financial - Divorce / Separation AgreementOLI_ATTACH_DIVORCEAGR373
Financial - Estate PlanningOLI_ATTACH_ESTATEPLANF374
Financial - Gifted PropertyOLI_ATTACH_GIFTEDPROP375
Financial - HardshipOLI_ATTACH_HARDSHIP376
Financial - Personal StatementOLI_ATTACH_PERSONALSTAT377
Financial - Proposed InsuredOLI_ATTACH_PROPOSEDINS378
Financial QuestionnaireOLI_ATTACH_QFINANCIAL146Document used to gather more information about the applicant's financial situation.
Financial Report - BusinessOLI_ATTACH_FINRPTBUS150Personal or corporate income statement, used to determine relationship between applicant's financial situation and amount of insurance requested.
Financial Report - PersonalOLI_ATTACH_FINRPTPERS149Personal financial report, used to determine relationship between applicant's financial situation and amount of insurance requested.
Financial - Trust for a MinorOLI_ATTACH_TRUSTMINOR379
Financial - WillOLI_ATTACH_WILL380
Fixed Annuity ProfileOLI_ATTACH_FAP2550070
FootnoteOLI_ATTACH_FOOTNOTE78Additional variable information applicable to correspondence. This is a specific part of a document.
Foreign Resident/Travel Questionnaire/SupplementOLI_ATTACH_QFORTRAV141Document used to gather more detailed information about the applicant's non-citizen status and/or their intent to travel outside the US
FormOLI_ATTACH_FORM5
Form 5500OLI_ATTACH_F5500295Form 5500 Annual Return/Report of Employee Benefit Plan - jointly developed by the Department of Labor, Internal Revenue Service, and the Pension Benefit Guaranty Corporation.
FormulaOLI_ATTACH_FORMULA534Used to specify a complex formula such as Market Value Adjustment (MVA) calculations or complex rider formulas.
Full Liquidation FormOLI_ATTACH_FULLLIQUIDATION513This is a form carriers use to process full liquidation requests.
Fund ProspectusOLI_ATTACH_FUNDPROSP2550050
General descriptionOLI_ATTACH_GENDESC264
General NoteOLI_ATTACH_GENERALNOTE14
General VA Disclosure (Rule 2821)OLI_ATTACH_VADISCLOSURE2550110
Government AllotmentOLI_ATTACH_GOVTALLOT124Document providing details for the use of funds taken from a government salary to pay premium
Group - Employee Data ListingOLI_ATTACH_EMPDATLIST381
Group - Forfeiture of BenefitsOLI_ATTACH_FORFEITURE382
Guaranteed Insurability Election Admin RulesOLI_ATTACH_ELETIONADRULES383Guaranteed Insurability Election Administrative Rules
Guaranty Association NoticesOLI_ATTACH_GUARANTYNOTICE2550420
Health StatementOLI_ATTACH_HLTHSTMNT129Document attesting to the continuing good health of the applicant. Used either in lieu of a physical exam or when it has been a while since the original application was received. Time interval is carrier specific.
HIPAA AuthorizationOLI_ATTACH_HIPAAAUTH487A form required by the USA Health Insurance Portability and Accountability Act in which an individual provides his/her signed permission to allow a covered entity to use or disclose the individual's protected health information (PHI) that is described in the authorization for the purpose(s) and to the recipient(s) stated in the authorization.
Home Office SpecimenOLI_ATTACH_HOS329The Attachment is the result of a request for the analytic results of the Home Office Specimen
IAI dataOLI_ATTACH_IAIDATA21Data associated with this attachment contain the results of an IAI Search
Implementation TimelineOLI_ATTACH_IMPLEM296Details about the implementation timeline in regards to a request for proposal to the insurance carrier.
Income StatementOLI_ATTACH_INCSTMNT148Personal or corporate income statement, used to determine relationship between applicant's financial situation and amount of insurance requested.
Independent Medical Examiner ReportOLI_ATTACH_INDEPDENTMEDEXAMNER241A report that is completed by a Medical Examiner, by the request of the insurance carrier. The Medical Examiner has no prior relationship with the insured. The insurance company .Report requested by the insurance company of an independent medical examiner for a claim. This document that contains information regarding a specified disability or condition with regards to a claim. This is a common requested report for claims that are long term or life long disabilities.
Indexed Annuity profileOLI_ATTACH_IAP2550080
In-Force Address ChangeOLI_ATTACH_POSADDRCHNG201
In-Force AmendmentOLI_ATTACH_POSAMEND198
In-Force Audit RequestOLI_ATTACH_POSAUDREQ192
In-Force Beneficiary ChangeOLI_ATTACH_POSBENECHNG189
In-Force Complex TransactionOLI_ATTACH_POSCOMLPEXTRAN193
In-Force ConversionOLI_ATTACH_POSCONVERT196
In-Force Duplicate Policy RequestOLI_ATTACH_POSDUPPOL194
In-Force Face Amount ChangeOLI_ATTACH_POSFACECHNG197
In-Force Name ChangeOLI_ATTACH_POSNAMECHNG190
In-Force Non-Financial ChangeOLI_ATTACH_POSNONFINCHNG186
In-Force Non-Financial TransactionOLI_ATTACH_POSNONFIN185
In-Force Owner ChangeOLI_ATTACH_POSOWNCHNG188
In-Force Premium ChangeOLI_ATTACH_POSPREMCHNG191
In-Force Rate ReductionOLI_ATTACH_POSRATERED199
In-Force Reinstatement RequestOLI_ATTACH_POSREINSTATE202
In-Force ReissueOLI_ATTACH_POSREISS195
In-Force Rider ChangeOLI_ATTACH_POSRIDERCHNG200
In-Force Servicing Agent ChangeOLI_ATTACH_POSSERVAGTCHNG187
Information - Product PageOLI_ATTACH_PRODUCTOPAGE384
InspectionOLI_ATTACH_INSPECTION24Data associated with this attachment contain the results of an Inspection
Inspection ReasonOLI_ATTACH_INSPREASON260Attachment contains information derived from an inspection report that might be used as reasons for modifying or rejecting a policy. This information is typically used for Fair Credit letters.
Inspection Report - Business BeneficiaryOLI_ATTACH_INSPBUSBENE179
Inspection Report - CreditOLI_ATTACH_INSPCREDIT178
Inspection Report - PersonalOLI_ATTACH_INSPPERS177
Instruction in Event of Deviation from RFPOLI_ATTACH_DEVIATERFP321Instruction in Event of Deviation from Request for Proposal
Instructions/RemindersOLI_ATTACH_INSTREMIND250Instructions such as those relating to a product or benefit. Example: "Provide a cancelled check not a deposit slip." Typically the "how" information.
Instructions - Settlement OptionsOLI_ATTACH_ISSINSTSETTL331
Instructions - Term ConversionOLI_ATTACH_ISSINSTTERMCV332
Instructions - UnderwritingOLI_ATTACH_ISSINSTUND330
Insurance Verification LetterOLI_ATTACH_INSVER333This attachmentthat is a form sent by the carrier to a requesting entity which verifies that the party or parties who requested this letter are covered by an insurance policy issued by the carrier
Interest Rate Lock Notice and DisclosureOLI_ATTACH_RATELOCK2550184Interest rate lock information
Interest Rate Notice and DisclosureOLI_ATTACH_RATEDISC2550182Interest rate disclaimer and notice information which should be presented to an agent and/or consumer whenever interest rate information is provided
Interest Sweep FormOLI_ATTACH_INTSWEEP2550300
Interim Conditional ReceiptOLI_ATTACH_CONDRECPTINT99A receipt given when a payment accompanies an application for insurance. It provides that the coverage will be in force from the date of application, provided the insurer would have issued the coverage on the basis of the facts revealed on the application, medical examination and other usual sources of underwriting.
Internal CommunicationOLI_ATTACH_INTERNAL249Communications and information for use by carrier and distributor staff including agents, but not customers/clients.
Investigator ReportOLI_ATTACH_INVESTIGATOR240Provides additional details about a claimant if the claimant is under investigation which can influence the outcome of a case.
Issue LogOLI_ATTACH_ISSUELOG297
Itemized BillOLI_ATTACH_ITEMBILL248The attachment contains an itemized bill.
Jumbo Case Review FormOLI_ATTACH_JUMBOREVIEW2550240
Lab dataOLI_ATTACH_LABREPORT23Data associated with this attachment contain the results of Lab work
Lab Slip DocumentOLI_ATTACH_LABSLIPDOC515The attachment is an image of a Lab Slip document that accompanies a lab kit.
LegalOLI_ATTACH_LEGAL385
LetterOLI_ATTACH_LETTER3
Letter - ApologyOLI_ATTACH_APOLOGY386
Letter - CommitmentOLI_ATTACH_LETOFCOMMIT387
Letter - DecisionOLI_ATTACH_DECISION388
Letter of Authorization to QuoteOLI_ATTACH_LTRAUTH298A letter specifying the broker is authorized by the employer to request a quote for insurance.
Letter - Receipt for Premiums CollectedOLI_ATTACH_RECEIPT389
Letter - To PhysicianOLI_ATTACH_PHYSICIANLET390
License Copy in non pre-appointment statesOLI_ATTACH_LICLICENSE220
Licensing Authorization to DiscloseOLI_ATTACH_LICPRODUCER223
Licensing Broker AuthorizationOLI_ATTACH_LICDISCAUTH222
Licensing - Documents for pre-appointment statesOLI_ATTACH_LICPREAPPT225
Licensing - General CorrespondenceOLI_ATTACH_LICGENCORR224
Life Policy ContractOLI_ATTACH_LIFECONTRACT538
Lifestyle Questionnaire/SupplementOLI_ATTACH_QLIFESTYLE145Document used to gather more detailed information about applicant's lifestyle
Limited Insurance AgreementOLI_ATTACH_LIA100An agreement providing that if all qualifications are met, coverage will be in force from the date of application, provided the insurer would have issued the coverage on the basis of the facts revealed on the application, medical examination and other usual sources of underwriting.
Lost Policy AffidavitOLI_ATTACH_LOSTPOL256An attestation that client has lost the original policy for the contract being surrendered for a replacement.
Mail LogOLI_ATTACH_MAILLOG391
Marketing - Fund Code ChartOLI_ATTACH_FUNDCODE392
Marketing MaterialsOLI_ATTACH_MARKMAT299
Marketing ObjectiveOLI_ATTACH_MKTGOBJECTIVE263
Marketing - Quotation RequestOLI_ATTACH_QUOTEREQ393
Marketing Strategy LetterOLI_ATTACH_MARKSTRAT300
Marketing - Underwriting Requirements ChartOLI_ATTACH_UNDERWRITREQ394
Market Value Adjustment DisclosureOLI_ATTACH_MVADISC535Used to specify disclosure wording for Market Value Adjustments (MVAs).
Medical exam performed by personal physicianOLI_ATTACH_MEDICALEXAM528Document which captures results of examination performed by a personal physician/doctor.
Meeting/Call NotesOLI_ATTACH_CALLNOTES301
MIB NoticeOLI_ATTACH_MIBNOTICE541Notice indicating personal information will be shared with MIB
MIB Search data returned in the MIB Service Request formatOLI_ATTACH_MIB_SERVRESP19Data associated with this attachment contain the results of an MIB Search
MIB Update DataOLI_ATTACH_MIB402244Data associated with this attachment contain the results of an MIB Update
Mini Mental State Exam FormOLI_ATTACH_MMNTALSTEX254A form that is completed by a trained clinician in evaluating a patient and providing such information as orientation, immediate recall, attention, delayed verbal recall, naming, stage command, reading, writing and sentence language.
Motor vehicle report informationOLI_ATTACH_MVR20Data associated with this attachment contain the results of an MVR request
Mountain/Rock/Ice Climbing Questionnaire/SupplementOLI_ATTACH_QCLIMB142Document used to gather more detailed information about applicant's participation in mountain, rock, or ice climbing activities reported in the application
NAIC Buyers Guide - EIAOLI_ATTACH_NAICBUYGUIDEEIA2550170
NAIC Buyers Guide - FixedOLI_ATTACH_NAICBUYGUIDEFIXED2550150
NAIC Buyers Guide - VariableOLI_ATTACH_NAICBUYGUIDEVAR2550160
NAIC Disclosure - Fixed and EIAOLI_ATTACH_NAICDISCFIXEIA2550180
NAIC Model Reg Replacement FormOLI_ATTACH_NAICMODELREGDISC2550330
Needs Analysis / Screening - Critical IllnessOLI_ATTACH_CRITICALSCREEN395
Needs Analysis / Screening - DisabilityOLI_ATTACH_DISABSCREEN396
Needs Analysis / Screening - InsuranceOLI_ATTACH_INSSCREEN397
Needs Analysis / Screening - InvestmentOLI_ATTACH_INVESTSCREEN398
Needs Assessment Summary LetterOLI_ATTACH_REASONWHY536This letter is intended to be a brief summary of the results of needs assessment. It is given to the client. In addition to helping the client understand the recommendation, it is something he or she can keep as a convenient reminder of why the policy was purchased.
New York Reg 60 Form Appendix 10AOLI_ATTACH_APPEN10A257A replacement form necessary to comply with New York Reg 60
New York Reg 60 Form Appendix 10BOLI_ATTACH_APPEN10B258A replacement form necessary to comply with New York Reg 60
New York Reg 60 Form Appendix 10COLI_ATTACH_APPEN10C259A replacement form necessary to comply with New York Reg 60
New York Regulation 60 Disclosure FormOLI_ATTACH_REG602550350
Non-Inspection ReasonOLI_ATTACH_NONINSPREASON261Attachment contains information derived from sources other than an inspection report that might be used as reasons for modifying or rejecting a policy. This information is typically used for Fair Credit letters.
Non-Medical DeclarationOLI_ATTACH_NONMEDDEC102Statement of personal health, used in lieu of physical examination
Non-Medical ExamOLI_ATTACH_NONMED101Document which captures results of examination performed by a paramedical examiner.
Non-NAIC Model Replacement FormOLI_ATTACH_NONNAICREPLACEMENT2550340
Non- NAIC SPDA Disclosure FormOLI_ATTACH_NONNAICSPDA2550175
Note from BuyerOLI_ATTACH_BUYERNOTE486Contains comments or notes from the buyer to the seller in an invoicing context.
Note from SellerOLI_ATTACH_SELLERNOTE485Contains comments or notes from the seller to the buyer in an invoicing context.
Notice Concerning Policyholder RightsOLI_ATTACH_NOTICE_POLHLDR_RIGHTS510The Notice Concerning Policyholder Rights is a document that explains the Company's information practices.
Not Taken OptionOLI_ATTACH_DISBNTO212
ObituaryOLI_ATTACH_OBITUARY532A notice of a death, often published in a newspaper, that is typically accompanied by a brief biography of the decedent.
Occupation Specialty ScheduleOLI_ATTACH_OCCUSPSCHED503Additional details pertaining to the occupations included in a request for proposal to the insurance carrier.
One Time Withdrawal FormOLI_ATTACH_ONETIMEWITHDRAWAL512This is a form carriers use to process one-time withdrawal requests. This form is usually used for both one-time withdrawal request as well as partial withdrawal requests.
Open EnrollmentOLI_ATTACH_OPENENROLL302
Original ApplicationOLI_ATTACH_ORIGINALAPP10
OtherOLI_OTHER2147483647
Other Exam FormOLI_ATTACH_EXAMFORM106Carrier specific form used to capture results of an examination.
Ownership Disclosure - Non-Natural or Corp OwnedOLI_ATTACH_OWNDISCNNCO2550212Ownership Disclosure - Non-Natural or Corporate Owned Form
Ownership Disclosure - Notice for Active Duty USAFOLI_ATTACH_OWNDISCMIL2550214Ownership Disclosure - Important notice for Active Duty Members of the United States Armed Forces
Paramed ExamOLI_ATTACH_PARAMED103Document which captures results of examination performed by a paramedical examiner.
Partial Withdrawal FormOLI_ATTACH_PARTIALWITHDRAWAL514This is a form carriers use to process partial withdrawal requests.
Payment - Acceptable forms of Payment NoticeOLI_ATTACH_PAYFORM2550234Payment - Acceptable forms of Payment Notice (Disclosure)
Payment Authorization FormOLI_ATTACH_PAYMENTAUTHFORM540
Payment - Pre-Authorized Investment Form (PAC)OLI_ATTACH_PAYPAC2550232
Performance GuaranteeOLI_ATTACH_PERFGUARAN504A request for a performance guarantee that is typically included in a request for proposal to the insurance carrier.
Personal History InterviewOLI_ATTACH_PERSHISTINTERVIEW327The Attachment is the result of a request for the results of the Personal History Interview
Plan HistoryOLI_ATTACH_PLANHIST303
Policy Delivery - Evaluation GuideOLI_ATTACH_EVALGUIDE399
Policy Delivery ReceiptOLI_ATTACH_POLDELVRCPT126Document signed by policyowner indicating that they have received the policy contract. Can also be signed by the agent.
Policy SummaryOLI_ATTACH_POLSUMMARY81The policy summary is a document, that contains certain legally required data regarding the specific policy being considered by the applicant. Such data includes premiums payable, benefits provided, cash values, and cost indexes.
Politically Exposed Person FormOLI_ATTACH_PEFPFORM519Disclosure of information for related persons and relationships of the owner(s) to politically exposed individuals.
Power Of Attorney AffidavitOLI_ATTACH_POA2550270
Pre-Authorized Check (PAC) AuthorizationOLI_ATTACH_PACAUTH120Authorization to withdraw funds from an account, which also provides the account detail.
Pre-Authorized Check (PAC) Authorization/Voided CheckOLI_ATTACH_PACAUTHVOID121Authorization to withdraw funds from an account, which also provides the account detail. Voided check for the account is attached to the authorization.
Pre-Authorized Check (PAC) CorrespondenceOLI_ATTACH_CORRPAC116Document communicating information related to the authorization to withdraw funds.
Pre-Candidate IllustrationOLI_ATTACH_PRECAND6
Preliminary ApplicationOLI_ATTACH_PRELIMAPP252A means of collecting basic information about the client and the policy being applied for, allowing the producer to initiate the new business process. The full application is completed after the new business process has begun. This type of application is also called a quick ticket.
Premium Allocation FormOLI_ATTACH_PREMIUMALLOCATIONFORM517Allocation of payments/deposits across investment product coverages.
Premium Check - Initial Premium (COD)OLI_ATTACH_PREMCHK122Check providing for payment of on-going premium
Premium Check - Ongoing PremiumsOLI_ATTACH_MONEYPREMCHK182
Premium ReportOLI_ATTACH_PREMIUM304
Prescription dataOLI_ATTACH_PRESCRIPTION_PROFILE22Data associated with this attachment contain the results of a Prescription Profile
PresentationOLI_ATTACH_PRESENT305
Pre-Tax Section 125 / Other Tax ConsiderationsOLI_ATTACH_TAX125324IRC - Section 125 plans your employees are able to pay for eligible fringe benefits with"pre-tax" income
Privacy NoticeOLI_ATTACH_PRIVACYNOTE2550100
Producer Card (a.k.a. Agent Card)OLI_ATTACH_AGENTCARD79Agent cards provide pertinent information about a policy for use in manual files.
Product Criteria FormOLI_ATTACH_PRODUCT306
Product Feature Comparison FormOLI_ATTACH_PRODFEATURECOMP544A Product Feature Comparison form is used to collect summary information about the policies being replaced and the proposed policy, for suitability analysis purposes.
Proof of Delivery StatementOLI_ATTACH_PROOFOFDEL2550410
Proposal InformationOLI_ATTACH_PROPOSAL_INFO307
Provider/Network InformationOLI_ATTACH_PROVIDER308
Publicly Disclosable InformationOLI_ATTACH_INFO251Information such as that relating to product features, benefits, constraints and costs. Example: "This spousal protection rider provides continued benefits after the death of the primary annuitant." Typically "why and what" information. This information may be printed/viewed/displayed to a customer.
Pulmonary Function TestsOLI_ATTACH_APSPULMONARY164Results of tests performed to ascertain applicant's respiratory health.
QualificationsOLI_ATTACH_QUALIF323
Qualified Plan DisclosuresOLI_ATTACH_QUALPLANDISC2550430
Qualified Plan Disclosure - Simple IRA Employer FormOLI_ATTACH_QUALSIMPLE2550432Qualified Plan Disclosure - Simple IRA Employer Information Form
Qualified Plan Disclosure - Tax Sheltered AnnuityOLI_ATTACH_QUALTSA2550434Qualified Plan Disclosure - Tax Sheltered Annuity Certification Form
Questionnaire - Activities of Daily LivingOLI_ATTACH_DAILYLIVQ400
Questionnaire - Alcohol or Drug UseOLI_ATTACH_ALCOHOLQ401
Questionnaire - ArthritisOLI_ATTACH_ARTHRITISQ402
Questionnaire - AssessmentOLI_ATTACH_ASSESSQ403
Questionnaire - AvocationOLI_ATTACH_AVOCATIONQ404
Questionnaire - Back PainOLI_ATTACH_BACKPAINQ405
Questionnaire - Beneficial OwnershipOLI_ATTACH_BENEFICIALQ406
Questionnaire - Blood PressureOLI_ATTACH_BLOODPRESQS407
Questionnaire - Client InformationOLI_ATTACH_CLIENTIINFOQ408
Questionnaire - ClimbingOLI_ATTACH_CLIMBQ409
Questionnaire - ColitisOLI_ATTACH_COLITISQ410
Questionnaire - Coronary and AnginaOLI_ATTACH_CORONARYQ411
Questionnaire - Digestive / Bowel DisorderOLI_ATTACH_DIGESTIVEQ412
Questionnaire - Driving HistoryOLI_ATTACH_DRIVHISTQ413
Questionnaire - Emotional HealthOLI_ATTACH_EMOTHEALQ414
Questionnaire - FaintingOLI_ATTACH_FAINTINGQ415
Questionnaire - Family HistoryOLI_ATTACH_FAMILYQ416
Questionnaire for Carrier CompletionOLI_ATTACH_QUEST309A list of questions provided to the carrier in a request for proposal to the insurance carrier.
Questionnaire - Gastro-IntestinalOLI_ATTACH_GASTROIN417
Questionnaire - GynaecologicalOLI_ATTACH_GYNQ418
Questionnaire - HeadacheOLI_ATTACH_HEADACHE419
Questionnaire - KidneyOLI_ATTACH_KIDNEYQ420
Questionnaire - LiverOLI_ATTACH_LIVERQ421
Questionnaire - Mature AgeOLI_ATTACH_MATUREQ422
Questionnaire - MilitaryOLI_ATTACH_MILITARYQ423
Questionnaire - MotorcycleOLI_ATTACH_MOTORCYCLE425
Questionnaire - Motor SportOLI_ATTACH_MOTORSPORTSQ424
Questionnaire - NeurologicalOLI_ATTACH_NEUROLOQ426
Questionnaire - NicotineOLI_ATTACH_NICOTINEQ427
Questionnaire - OccupationOLI_ATTACH_OCCUPATIONQ428
Questionnaire - Part 2 (Paramedical / Medical)OLI_ATTACH_MEDICALP2429
Questionnaire - Physical DemandsOLI_ATTACH_PHYSICALDEMAQ430
Questionnaire - Physiotherapy ReportOLI_ATTACH_PHYSIOTHERYQ431
Questionnaire - Politically Exposed PersonOLI_ATTACH_QPEFP518Initial questions used to determine if a Politically Exposed Person Form is required.
Questionnaire - Power Boat RacingOLI_ATTACH_POWERBOATQ432
Questionnaire - PsychiatricOLI_ATTACH_PSYCHIATRICQ433
Questionnaire - RespiratoryOLI_ATTACH_RESPIRATORYQ434
Questionnaire - Scuba DivingOLI_ATTACH_SCUBAQ435
Questionnaire - Skydiving, ParachutingOLI_ATTACH_SKYDIVINGQ436
Questionnaire - SnowmobilingOLI_ATTACH_SNOWMOBILEQ437
Questionnaire - Temporary Insurance AgreementOLI_ATTACH_TEMPAGREE438
Questionnaire - TumourOLI_ATTACH_TUMORQ439
Racing Questionnaire/SupplementOLI_ATTACH_QRACING139Document used to gather more detailed information about applicant's racing experience reported in the application
Rate/Financial InformationOLI_ATTACH_RATEINFO311
Rate HistoryOLI_ATTACH_RATEHIST310
Registered Fixed Annuity Prospectus (MVA and EIA)OLI_ATTACH_FIXEDPROSP2550042Registered Fixed Annuity Prospectus (including MVA and EIA)
Release of Commission AssignmentOLI_ATTACH_COMMREL230
Remittance LogOLI_ATTACH_REMITLOG118Document, which accompanies one or more checks/financial records, used to list and describe the individual items
Renewal NotificationOLI_ATTACH_RENEWAL312
Replacement FormOLI_ATTACH_REPLF107State specific replacement form, which informs the applicant about the implications of using the policy being applied for to replace existing insurance.
Reports, Office and Hospital RecordsOLI_ATTACH_APSREPORT167Details of an applicant's medical history, provided by a health care provider other than a physician
ReproposalOLI_ATTACH_REPROPOSAL8
Request - Disclosure of Reasons for UW DecisionOLI_ATTACH_DISCLOSUREREA440Request - Disclosure of Reasons for Underwriting Decision
Request - Duplicate PolicyOLI_ATTACH_DUPLICATERQ441
Request - Supplies (Group)OLI_ATTACH_SUPPLIESGR442
Request - Supplies (Insurance)OLI_ATTACH_SUPPLIESINS443
Request - Supplies (Investment)OLI_ATTACH_SUPPLIESINV444
Requirement Result.OLI_ATTACH_REQUIRERESULTS246Data associated with this attachment contain the results of a Requirement Result.
Requirements RequestOLI_ATTACH_REQUIREREQUEST245Data associated with this attachment contain the information of an Requirement request
Resident Alien CardOLI_ATTACH_RESALIENCD117Documentation that applicant is not a citizen but does have resident alien status
Resident Alien Questionnaire/SupplementOLI_ATTACH_QRESALIEN143Document used to gather more detailed information about applicant's resident alien status.
Restriction NoteOLI_ATTACH_RESTRICTNOTE522Used to document restrictions, such as those documented with financial guidelines.
Returned CheckOLI_ATTACH_RETURNCHK119Check that is being returned because it could not be accepted and/or processed
Returned Original PolicyOLI_ATTACH_RETORIGPOL128Original policy contract that is being returned to the carrier.
Revised ApplicationOLI_ATTACH_REVISEDAPP11
Revised IllustrationOLI_ATTACH_REVISEDILLUS9
RFP InstructionsOLI_ATTACH_RFP313Request for Proposal Instructions
Rider Reset Authorization FormOLI_ATTACH_RIDERRESET2550280
Risk Tolerance QuestionnaireOLI_ATTACH_RISKTOL2550090
Sales Summary DisclosureOLI_ATTACH_SALESDISCOSURE2550140
SEC N-4 Sec Registration Narrative ExplanationOLI_ATTACH_SECN_4262Footnote or other explanatory narrative further describing an element's context, meaning or use.
Secondary Address FormOLI_ATTACH_SECONDADDRESSFORM539
Segregated Funds - ResetOLI_ATTACH_RESETSEGRFUNDS445
Seizure Disorder Questionnaire/SupplementOLI_ATTACH_QSEIZURE133Document used to gather more detailed information about applicant's seizure disorder reported in the application
Service - Banking / Premium PaymentOLI_ATTACH_BANKPREMPAY446
Service - Bene, Owner, Trustee, Assignment, NameOLI_ATTACH_BENENAMECORR447Service - Beneficiary, Owner, Trustee, Assignment, Name
Service - Cancellation / TerminationOLI_ATTACH_CANCELLSERV448
Service - Creditor RequestOLI_ATTACH_CREIDTORREQSERV449
Service - Deposit NoticeOLI_ATTACH_DEPOSITNOTESERV450
Service FormsOLI_ATTACH_SERVICEFORM2550440
Service Level AgreementOLI_ATTACH_SERVICELVL314
Service - Loan RepaymentOLI_ATTACH_LOANREPAYSERV451
Service - Non-Financial UpdateOLI_ATTACH_NONFINUPDATE452
Service - Ownership or BeneficiaryOLI_ATTACH_OWNERSERV453
Service - PayeeOLI_ATTACH_PAYEESERV454
Service - Phone RestrictionOLI_ATTACH_PHONESERV455
Service - PolicyOLI_ATTACH_POLICYSERV456
Service - Registered Investment TransferOLI_ATTACH_TRANSFERSERV457
Service - Release of Beneficiary's InterestOLI_ATTACH_RELBENEINT458
Service - Release of Collateral AssignmentOLI_ATTACH_RELCOLLASS459
Service - Rider Election / Addition of CoverageOLI_ATTACH_RIDERELEC460
Service - Servicing Representative ChangeOLI_ATTACH_SERVREPCHG461
Service - Status ChangeOLI_ATTACH_STATUSCHG462
Short Portable Mental Status QuestionnaireOLI_ATTACH_SPMSQ255A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. This is commonly known as SPMSQ.
Signed Tele-medOLI_ATTACH_TELMEDSGND104Part B examination completed by tele-interviewer, signed
Specification PageOLI_ATTACH_SPECIFICATIONPAGE82The specification page is a document that contains which contains high level information regarding the policy such as the plan name, amount of insurance, name and address of the primary insured.
Statement - AcceptanceOLI_ATTACH_ACCEPTANCE463
Statement - Amounts held in Federal plansOLI_ATTACH_AMOUNTSTAT464
Statement - Certificate of DischargeOLI_ATTACH_CERTOFDISCH465
Statement - Certificate of ExistenceOLI_ATTACH_CERTOFEXIST466
Statement - Child HealthOLI_ATTACH_CLDHEALTH467
Statement - Client DisclosureOLI_ATTACH_CLTDISCLO468
Statement - Compensation (Group)OLI_ATTACH_COMPENSATIONGR469
Statement - Date of BirthOLI_ATTACH_DOBSTATEMENT470
Statement - Insurability / Good HealthOLI_ATTACH_INSURABILITYSTAT471
Statement - Interest Rate GuaranteeOLI_ATTACH_INTRATEGUARSTAT472
Statement - InterpreterOLI_ATTACH_INTERPRETER473
Statement - Letter of DirectionOLI_ATTACH_LETDIRECTION474
Statement - Locked-In Pension FundsOLI_ATTACH_LOCKINPENSION475
Statement - Major Cash DepositOLI_ATTACH_MAJORCASHDEP476
Statement - Marital StatusOLI_ATTACH_MARITALSTATUS477
Statement - Notary Public CertificateOLI_ATTACH_NOTARY478
Statement - Refusal of CoverageOLI_ATTACH_REFUSAL479
Statement - Representative DeclarationOLI_ATTACH_REPDECLARATION480
Statement - Spousal Consent / WaiverOLI_ATTACH_SPOUSALCONS481
Statement - Third Party DeclarationOLI_ATTACH_THRIDPARTY482
Strategic PlanningOLI_ATTACH_STRATIGIC315
Suitability Determination FormOLI_ATTACH_SUITABILITY2550370
Summary of Premium ProvisionOLI_ATTACH_SUM_PREMIUM_PROVISION511The Summary of Premium Provision is a document that defines the premium options.
Summary Plan DescriptionOLI_ATTACH_SUMMPLAN316A document containing a comprehensive description of a plan, including the terms and conditions of participation. This is typically included in a request for proposal to the insurance carrier.
Supplementary application - ChildOLI_ATTACH_SUPPAPPCHLD161Document providing application detail for a child applying for coverage as an Other Insured
Supplementary Application - SpouseOLI_ATTACH_SUPPAPPSPSE162Document providing application detail for a spouse applying for coverage as an Other Insured
Systematic Withdrawal FormOLI_ATTACH_SYSWITH2550220
Tax - Canada Revenue Agency (CCRA)OLI_ATTACH_CCRA483
Tax Disclosure Form - W4POLI_ATTACH_TAXW4P2550260
Tax Disclosure Form - W8OLI_ATTACH_TAXW82550250
Tax - Request to Reduce Tax Deductions at SourceOLI_ATTACH_REDUCETAXDED484
Teleinterview NoteOLI_ATTACH_TELEINTERVIEWNOTE326Note with instructions or additional information for the teleinterviewer.
Telephone/ Electronic Transaction Auth FormOLI_ATTACH_TELE2550230
Testamentary Trust WordingOLI_ATTACH_TRUSTWORDING531Used to specify the wording of a trust arrangement. Examples include:A credit shelter trust under said will and testamentA trust under Article _____ of said will and testamentA trust under item _____ of said will and testamentThe _____ Trust under said will and testamentFor the Benefit Of _______
Tobacco Use Questionnaire/SupplementOLI_ATTACH_QTOBACCOUSE137Document used to gather more detailed information about applicant's use of tobacco reported in the application
TransmittalOLI_ATTACH_TRANSMITTAL109Coversheet attached to the insurance application, used as a tool to communicate information from the producer to the carrier.
Transparency Disclosure FormOLI_ATTACH_TRNASDISC317
Trust AgreementOLI_ATTACH_TRUSTAGRMNT147Document provided details about trust agreement.
Trust Document CertificateOLI_ATTACH_TRUST2550210
U.S. W4 Tax FormOLI_ATTACH_TAXW4524Employee's Withholding Allowance Certificate (U.S. W4 Tax Form)
Underwater/Sky Sports Questionnaire/SupplementOLI_ATTACH_QDIVESKYSPORT138Document used to gather more detailed information about applicant's participation in underwater or sky sports reported in the application
Underwriter Work SheetOLI_ATTACH_UNDRWRTWKSHT80The worksheet, sometimes called a data sheet, is a printout of all available information about the proposed insured and, in some companies pertinent information about the agent who submitted the application.
Underwriting NoteOLI_ATTACH_UNDRWRTNOTE12General underwriting note when the intended recipient is not specified.
Union Contract/AgreementOLI_ATTACH_UNIONCON318
UnknownOLI_UNKNOWN0
Unsigned Tele-medOLI_ATTACH_TELMEDUNSGND105Part B examination completed by tele-interviewer, unsigned
Urine Test Results - PaperOLI_ATTACH_LABSURINE170Results of tests performed on a urine specimen to ascertain the applicant's health.
Values PageOLI_ATTACH_VALUEPAGE83The Values page is specific to the type of policy and contains information regarding coverages, benefits, extra ratings, cash value, etc.
Variable Annuity Contract ProspectusOLI_ATTACH_CONTRACTPROSP2550040
Variable Annuity ProfileOLI_ATTACH_VAP2550060
Variable Annuity Summary ProspectusOLI_ATTACH_VASUMPROSPECTUS2550041
Voice Signature Image/FileOLI_ATTACH_VOICESIGN526
Void CheckOLI_ATTACH_MONEYVOID183
W9OLI_ATTACH_TAXW9160In the U.S., the IRS Tax Identification Verification Form is the W-9 form.
Welcome LetterOLI_ATTACH_WELCOMELTR2550390
Wet signature imageOLI_ATTACH_WETSIGN13
WorkflowOLI_ATTACH_WORKFLOW319
WorksheetOLI_ATTACH_WRKSHT97Document providing supporting details for another form, data element or calculation
X-ray CopyOLI_ATTACH_XCOPY174Copy of x-ray film
X-ray InterpretationOLI_ATTACH_XREPORT175Analysis of x-ray film