Uniform Standards Without Actuarial Review

The following Uniform Standards do not require an actuarial review. For further information regarding the submission requirements, please review the Uniform Standards, available on the Insurance Compact Record Adopted Standards.

Individual Application:

Insurance Application

Individual Variable Adjustable Life Insurance Product Line:

  • IIPRC-L-06-I-4 Additional Standards for Private Placement Plans for Individual Variable Adjustable Life Insurance Policies

Standards for Individual Life Benefit Features:

  • IIPRC-L-08-LB-I Additional Standards for All Benefit Features
  • IIPRC-L-08-LB-I-AD-1 Standards for Accidental Death Benefits
  • IIPRC-L-08-LB-I-AD-2 Additional Standards for Accidental Death and Dismemberment Benefits
  • IIPRC-L-08-LB-I-WPB Additional Standards for Waiver of Premium Benefits
  • IIPRC-L-08-LB-I-WMDB Additional Standards for Waiver of Monthly Deductions Benefit
  • IIPRC-L-08-LB-I-WPBChild Additional Standards for Waiver of Premium Benefit for Child Insurance in the Event of Payor’s Total Disability or Death
  • IIPRC-L-08-LB-GIB Additional Standards for Additional Life Insurance Benefits Provided on a Guaranteed Insurability Basis
  • IIPRC-L-08-LB-I-TQ Additional Standards for Forms Used to Provide Tax Qualified Plan Provisions for Individual Life Insurance Policies
  • IIPRC-L-08-LB-I-UE-1 Additional Standards for Forms Used to Exclude Policy Coverage Based on the Underwriting Process
  • IIPRC-08-LB-I-CB Additional Standards for Riders, Endorsements or Amendments Used to Effect Individual Life Insurance Policy Changes
  • IIPRC-L08-LB-I-WSCB Additional Standards for Waiver of Surrender Charge Benefit for Life Insurance

Individual Variable Annuity Product Line:

  • IIPRC-AB-03-I-PP Additional Standards for Private Placement Plans for Individual Deferred Variable Annuity Contracts (for Use with Individual Deferred Variable Annuity Contracts)

Standards for Individual Annuity Benefit Features:

  • IIPRC-AB-I-TQ Additional Standards for Forms Used to Provide Tax Qualified Plan Provisions for Individual Annuity Contracts
  • IIPRC-AB-I-WSC Additional Standards for Waiver of Surrender Charge Benefit
  • IIPRC-AB-I-CB Additional Standards for Riders, Endorsements or Amendments Used To Effect Individual Annuity Contract Changes

Individual Long-Term Care Insurance Product Line:

  • IIPRC-LTC-I-3-ADV Standards for Individual Long-Term Care Insurance Advertising Material
  • IIPRC-LTC-I-3-OC Individual Long-Term Care Insurance Standards for the Outline of Coverage
  • IIPRC-LTC-I-3-BEN Standards for Long-Term Care Insurance Benefit Features
  • IIPRC-LTC-I-3-AMEND Standards for Riders, Endorsements or Amendments Used to Effect Individual Long-Term Care Insurance Policy Changes

Individual Disability Income Insurance Product Line:

  • IIPRC-DI-I-H11-OC Standards for Individual Disability Income Insurance Outline of Coverage
  • IIPRC-DI-I-H11-UE Standards for Forms Used to Limit or Exclude Individual Disability Income Insurance Policy Coverage Based on the Underwriting Process
  • IIPRC-DI-I-H11-AMEND Standards for Riders, Endorsements or Amendments Used to Effect Individual Disability Income Insurance Policy Changes

Group Policyholder Application:

Group Term Life Insurance Product Line:

  • IIPRC-L-04-G-EG Group Term Life Insurance Policy and Certificate Standards for Employer Groups
  • IIPRC-L-04-G-EG-CERT CHANGE Uniform Standards for Riders, Endorsements or Amendments Used to Effect Group Term Life Insurance Certificate Changes
  • IIPRC-L-04-G-EG-POL CHANGE Uniform Standards for Riders, Endorsements or Amendments Used to Effect Group Term Life Insurance Policy Changes
  • IIPRC-L-04-G-EG-EFSIF Uniform Standards for Group Term Life Insurance Enrollment Forms and Statement of Insurability Forms
  • IIPRC-L-04-G-EG-SIGF Uniform Standards for Group Term Life Insurance Statement of Insurability Change Form
  • IIPRC-L-04-G-EG-ADB Group Term Life Insurance Uniform Standards for Accidental Death Benefits
  • IIPRC-L-04-G-EG-ADDB Group Term Life Insurance Uniform Standards for Accidental Death and Dismemberment Benefits
  • IIPRC-L-04-G-EG-WOP Group Term Life Insurance Uniform Standards for Waiver of Premium While the Employee is Totally Disabled

Group Disability Income Insurance Product Line:

  • IIPRC-DI-G-H11-POL CHANGE Uniform Standards for Riders, Endorsements or Amendments Used to Effect Group Disability Income Insurance Policy Changes
  • IIPRC-DI-G-H11-CERT CHANGE Uniform Standards for Riders, Endorsements or Amendments Used to Effect Group Disability Income Insurance Certificate Changes
  • IIPRC-DI-G-H11-EFSIF Uniform Standards for Group Disability Income Insurance Enrollment Forms and Statement of Insurability Forms
  • IIPRC-DI-G-H11-SI CHANGE Uniform Standards for Group Disability Income Insurance Statement of Insurability Change Form

Group Annuity Product Line:

Group Whole Life Product Line:

  • IIPRC-L-07-G-EG-EFSIF Uniform Standards for Group Whole Life Insurance Enrollment Forms and Statement of Insurability Forms
  • IIPRC-L-07-G-EG-SIGF Uniform Standards for Group Whole Life Insurance Statement of Insurability Change Form
  • IIPRC-L-07-G-EG-CertChange Uniform Standards for Riders, Endorsements or Amendments Used to Effect Group Whole Life Insurance Certificate Changes
  • IIPRC-L-07-G-EG-PolChange Uniform Standards for Riders, Endorsements or Amendments Used to Effect Group Whole Life Insurance Policy Changes
  • IIPRC-L-07-G-EG-AccidDB Group Whole Life Insurance Uniform Standards for Accidental Death Benefits
  • IIPRC-L-07-G-EG-ADDB Group Whole Life Insurance Uniform Standards for Accidental Death and Dismemberment Benefits
  • IIPRC-L-07-G-EG-GDB Additional Standards for Graded Death Benefit for Whole Life Insurance Policies and Certificates for Employer Groups
  • IIPRC-L-07-G-EG-WoP Additional Standards for Waiver of Premium Benefits for Total Disability andOther Qualifying Events for Whole Life Insurance Policies and Certificates for Employer Groups

Updated: December 11, 2023