Long, Randi J. - Pruco Life Policy #V2 583 539
PROCESSING DATE: FEB 19, 2019
CONTRACT DATA
Insured's Information
RANDI J LONG Female, Issue Age 55
Rating Class
Nonsmoker
Basic Contract Information
Policy Number Contract Date Premium Period
V2 583 539
November 15, 2018
During the life of the Insured up to attained age 121
Beneficiary
GRAHAM W LONG, spouse
Preferred Loan Interest Rate Loan Interest Rate
1.25% 2.00%
Insurance Department Contact Information
Michigan Department of Insurance and Financial Services Telephone Number: 517-284-8800
Life Insurance on the Insured
Basic Insurance Amount
$500,000.00
Other Benefit(s) on the Insured (see appropriate form for details)
Rider ICC17 VL 145 B5 - Rider to Provide Acceleration of Death Benefit.
Minimum Initial Premium
The minimum initial premium due on the Contract Date is $725.41.
Contract Limitations
The minimum premium we will accept is $25.00.
The minimum Basic Insurance Amount is $100,000.00. The minimum decrease in Basic Insurance Amount is $5,000.00.
The minimum amount you may withdraw is $250.00.
CONTRACT DATA CONTINUED ON NEXT PAGE
ABC
ICC16 ULNLGA-2016
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