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Texas Department of Insurance
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Life Insurance Checklists

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TDI Form Number Description File Format Language
LAC005

Group Life Insurance Checklist

PDF English
LAC006

Individual Term and Whole Life Checklist

PDF English
LAC007

Universal Life Insurance Checklist

PDF English
LAC008

Variable Life Insurance Checklist

PDF English
LAC009

Corporate Owned Life Insurance Checklist

PDF English
LAC015

Accelerated Death Benefits Checklist

PDF English
LAC016

Additional Insured's Checklist

PDF English
LAC019

Life Exclusions Checklist

PDF English
LAC023

Return of Premium Checklist

PDF English
LAC024

Waiver of Premium Checklist

PDF English

For more information, contact: LifeHealth@tdi.texas.gov