SHENANDOAH LIFE - thefinancialmp.com

SHENANDOAH LIFEINSURANCE COMPANY

AGENT CONTRACT PROCEDURES CHECKLIST:

Please complete the following enclosed forms.Do not submit the Contract, unless all required forms are also enclosed.

0 #4330 Producer Data SheetMust be completed thoroughly and signed by the Agent. Also, include a copy ofagent resident and non resident licenses (if applicable) corresponding with the agent orcorporate agent name appearing on the contract. This is a required form.Commonly missed items you must provide:

-5 Birth Date«* Social Security Number•«? Must answer background questions

0 #5058 Agent's Declaration and AuthorizationMust be signed by the Agent. This is a required form.

0 #4854 Direct Deposit Authorization - EFTAll commission payments are deposited to the Agent's checking or savings account.This is a required form. Must provide a voided check for checking account information. Ifusing a savings account, we must receive written confirmation from the bank of thesavings account and routing numbers.

0 # 5444 ContractMust be signed by the Agent. Complete section A only or section B only. I MO name mustbe written on the contract. This is a required form.

S3 #5055 Contracting TransmittalMust be completed and signed by the IMO.

0 ERRORS & OMISSIONS INSURANCEA minimum of $1,000,000 E&O liability coverage ($1,000,000 aggregate and $1,000,000per claim) is required.

E3 Copy of License (s)

Please send all required documents to :

The Financial Marketplace, Inc.1410 Piedmont DriveLexington, NC 27292

Or fax to:866.454.1008


New Business Solicitation Guide

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1 Agents who are licensed in the applicable state may solicit business on behalf of Shenandoah Life only afterreceiving written notice of confirmation from Shenandoah Life of their appointment with the company in that state.

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L/ Agents who are licensed in the applicable state may solicit business on behalf of Shenandoah Life prior to appointment with the[ company in that state, only after receiving written notice from Shenandoah Life that their contract has been approved and is effective.

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Agents who are ltas^£^^ Shenandoah Life

FORM 5311-REV. s/o? Shenandoah Life currently accepts business only from the states shown in green, yellow or red.

Can a licensed agent solicit business prior to the effective date of the appointment in this state?Alabama Yes But only if agent has received written approval of the Contract from Shenandoah Life prior to solicitation

Notice of appointment must be filed with Insurance Commissioner within 15 days from date of first application or date of agency contract, whichever comes firstColorado Yes But only if agent has received written approval of the Contract from Shenandoah Life prior to solicitation

Notice of appointment must be filed with Insurance Commissioner within 15 days from date of first application or date of agency contract, whichever comes firstAgent appointment must be approved & filed within 30 days of Home Office receipt of the first application; otherwise the application must be withdrawnFirst application may not be submitted prior to the submission of the agent's Contract or request for appointment to Shenandoah Life

Indiana Yes But only if agent has received written approval of the Contract from Shenandoah Life prior to solicitation

Kansas

Louisiana

Minnesota

Notice of appointment must be filed with Insurance Commissioner within 30 days from date of first application or date of agency contract, whichever comes firstYes But only if agent has received written approval of the Contract from Shenandoah Life prior to solicitation

But solicitation must cease if agent does not receive notice of appointment approval from Company within 15 days of the execution of the first app.Yes But only if agent has received written approval of the Contract from Shenandoah Life prior to solicitation

Agent appointment must be approved & filed within 30 days of Home Office receipt of the first application; otherwise the application must be withdrawnNotice of appointment must be filed with Insurance Commissioner within 15 days from date of first application or date of agency contract, whichever comes first

Yes But only if agent has received written approval of the Contract from Shenandoah Life prior to solicitationMississippi Yes But only if agent has received written approval of the Contract from Shenandoah Life prior to solicitationMissouri

New Jersey

Pennsylvania

Yes But only if agent has received written approval of the Contract from Shenandoah Life prior to solicitationNotice of appointment must be filed with Insurance Commissioner within 15 days from date of first application or date of agency contract, whichever comes first

Yes But only if agent has received written approval of the Contract from Shenandoah Life prior to solicitationNotice of appointment must be filed within 15 days from date of first application or date of agency contract, whichever comes first.Apps may not be solicited prior to the date the agent's contract is signed and dated. Notification of agent appointment must be filed with the state within 30 days of contract signature date.Agent appointment must be approved & filed within 30 days of Home Office receipt of the first application; otherwise the application must be withdrawnNotice of appointment must be filed with Insurance Commissioner within 15 days from date of first application or date of agency contract, whichever comes first

Yes But only if agent has received written approval of the Contract from Shenandoah Life prior to solicitationAgent appointment must be approved & tiled within 14 days of Home Office receipt of the first application; otherwise the application must be withdrawnNotice of appointment must be filed with Insurance Commissioner within 15 days from date of first application or date of agency contract, whichever comes firstNotice of appointment must be filed with Insurance Commissioner within 30 days from date of first application or date of agency contract, whichever comes first,Agent appointment must be approved & filed within 30 days of Home Office receipt of the first application; otherwise the application must be withdrawnNotice of appointment must be filed with Insurance Commissioner within 15 days from date of first application or date of agency contract, whichever comes first

* Agent must receive written confirmation of appointment from Shenandoah Life before solicitation.Commissions will not be paid before the agent's appointment effective date.Shenandoah Life solicitation guidelines are based on Shenandoah Life practices and procedures and are subject to change without notice.Please call Agency Services, (800) 848-5433, ext. 4348 Stacy McLaughlin; ext. 4470 Lynn Shepherd; ext. 4335 Wanda Williams, ext. 4308 Genita Trusclair,with any questions. You may also call ext. 4481 for Nancy Rutherfoord, Manager.Effective 8/07

Date

PERSONAL

SHENANDOAH LIFEINSURANCE COMPANYPRODUCER DATA SHEET

PLEASE PRINT OR TYPE

Fust Middle Nickname Last Designations

Home Address City State Zip County

Social Security Number Date of Birth Home Phone Marital S tatus Spouse

BUSINESS

Name E-mail Address

Business Marling Address City State Zip County

Business Street Address City State Zip County

Tax ID Number Business Phone Fax Number Years 111 Insurance

_l Yes O No Have you ever been charged with, convicted of, or pled guilty or no contest to a felony or misdemeanor or are any such

proceedings pending?

If yes, explain

_l Yes _l No Have you ever had an insurance license denied, suspended, or revoked by a state insurance department or been the subject

of any disciplinary or administrative action., or fined or penalized or are any such proceedings pending?

If yes, explain

_l Yes Q No Do you have an outstanding debit balance with any insurance company?

If yes, explain

OYes ONo H ave you ever filed for bankruptcy? If yes, what year? _ a Chapter 7 Q Chapter 11 Q Chapter 13

ERRORS AND OMISSIONS (Attach a copy of your certificate)

Agent Errors and Omissions insurance earnerIf you do not have a current earner, you should complete our brochure. Errors and Omissions coverage is mandatory for all

Shenandoah Life producers.

LICENSING

1. Attach a copy of your life and health licenses as applicable. NJ residents please sign and enclose your state's Child Support Addendum along

with your license.

2. Medicare Supplement Licensing: We must have a record of your healtll line of authority if you plan to sell Medicare Supplement. If you

are in NC, we must have a copy of your NC Medicare Supplement license.

3. Will you personally write business? dYes

4. If you plan to recruit, m wliich states will the agents you recruit wnte business?

ACCESS TO SOFTWARE / SHENANDOAH LIFE ELECTRONIC INFORMATION

O Yes LJ No I prefer to download Shenandoah Life software electronically from StarNet and do not want software marled to me.

_J Yes -J No I want immediate electronic access to my commission statement (available for printing from StarNet) -no paper

copy will be mailed.

Form 4330-Rev. 6/06 Shenandoah Life Insurance Company « P.O. Box 12847 • Roanoke, VA 24029 » (800) 848-5433 « www.shenlife.com Page 1 of 1


THIS FORM MUST BE SIGNED AND RETURNED IN ORDERFOR US TO PROCESS YOUR CONTRACTING PAPERWORK

PUBLIC LAW 91-508 (PLEASE READ)

In making this application, it is understood that an investigative consumer report may be prepared wherebyinformation is obtained through personal interviews with your neighbors, friends, or others with whom you areacquainted. Tins inquiry includes information as to your character, general reputation, personal characteristics andmode of living. You have the right to make a written request within a reasonable period of time to receive additionaldetailed information about die nature and scope of tins investigation.

L O

In addition, Shenandoah Life may obtain and use a consumer credit report for purposes of making anappointment decision, and Shenandoah Life may disclose that report to a contracted Independent MarketingOrganization agent or agency in connection with that decision.

Shenandoah Lite may utili2e a clearinghouse to share information with other companies. Tins authorizesShenandoah Life to release and receive information concerning your performance as an agent or your debit balance.

I hereby acknowledge that I have received notice of PUBLIC LAW 91-508, and hereby consent to the preparationof such a consumer credit report on myself. I also certify that the answers provided in die producer data sheet(Form 4330) are true and correct to die best of my knowledge and belief.

x_Signature of Producer Date

THIS INFORMATION WILL BE HELD IN STRICTEST CONFIDENCE

Minnesota and Oklahoma Applicants Only: Please check here to have a copy of your consumer reportsent by the consumer reporting agency to you at the address listed on the Producer Data Sheet.

Form 5058-1/01 Shenandoah Life Insurance Company « P.O. Box 12847 • Roanoke, VA 24029 • (800) 848-5433 » www.shenhfe.com Page 1 of 1


Direct Deposit Authorizationfor

Electronic Funds Transfer (EFT) for Shenandoah Life Producers

Please Note: EFT is required for all producers.

The requested information must be received before the contract will be made effective.

I authorize Shenandoah Life Insurance Company to deposit all Individual business commission payments tomy checking or savings account indicated below:

FINANCIAL INSTITUTION INFORMATION:

Account Number:

Bank Transit/ABA Routing Number:

ACCOUNT TYPE:

( N/) Checking Must attach a VOIDED CHECK.

( ) Savings Verify with your financial institution that this EFT will be accepted and obtainthe Transit/ABA Routing Number

Financial Institution Name:

City, State, Zip: e X J O V o Q NC ?

Telephone Number: fo-

AGENT INFORMATION:

Agent Name: Agent Number:

Date: Signed:

Commissions are generated by check until the authorization is completed by the bank, usuallywithin one or two pay periods.

All banks guarantee to process within three business days of receiving the funds.

#4854-Rev. 3/02

SHENANDOAH LIFE INSURANCE COMPANYCOMMISSION ADVANCEMENT REQUEST

The Company, at its discretion, may advance commissions earned on products sold in accordance withthe terms below.

Monthly Electronic Fund Transfer

% first-year commissions may be advanced on policies sold on Electronic Fund Transfer.

Government Allotment and Payroll Deduction (List Bill)

% may be advanced at settle.

% may be advanced at paid.

All other modes will be paid as earned. Commission advancement means that the percentage shownabove of the first-year commission is paid in a lump sum at the time the policy is issued.

In the event that a policy on which advanced commissions were paid terminates during the first 12 policymonths, for any reason other than death of the insured, the Company will immediately charge back theunearned portion of the advance. Policies written on the agent or the agent's immediate family do notqualify for advancement. The Company will not advance commissions on a policy that has beenreinstated.

The Company reserves the right to cancel, modify or remove any agent from commission advancement.Reasons for removal include, but are not limited to, poor persistency, poor quality business, or excessivedebit balances, as determined solely by the Company. The maximum commissions advanced will belimited to $1,000 per policy.

Individual Agent or Corporate Agent Name (Please Print)

Date

#4842-IMO AGENT-Rev. 7/02


BENEFICIARY DESIGNATION

This form is used to enable the Agent to designate a beneficiary to receive money due the Agent from the Company afterthe death of the Agent. Unless this form is completed and received by the Company prior to the Agent's death, moneydue the Agent posthumously under the contract shall be paid in the following order of preference:

1. The spouse of the Agent if he or she survives the Agent by more than 30 days; or

2. The Agent's estate, executors or administrators as determined by the Company.

The Agent should review the tax consequences of this designation with his or her tax advisor.

I designate the following as my beneficiary under my Agent Contract.

Name of Beneficiary Relationship to Agent

Street Address

City, State, Zip

Name of Contingent Beneficiary Relationship to Agent

Street Address

City, State, Zip

THIS DESIGNATION SUPERSEDES ANY PREVIOUS DESIGNATION

Name of Agent (please print) Date

Signature of Agent Witness

Form 4843-Rev. 10/99 Shenandoah Life Insurance Company • P.O. Box 12847 » Roanoke, VA 24029 • (800) 848-5433 « www.shenlife.com Page 1 of 1


PARTIES TO THE CONTRACT

This contract is made and entered into between Shenan-doah Life Insurance Company hereafter referred to as"Company"; and the party or parties indicated on thesignature page, hereafter referred to as "Agent." Com-pany and Agent recognize that this contract is entered intoin accordance with the Independent Marketing Organiza-tion contract between Company and Independent Market-ing Organization indicated on signature page.

BUSINESS RELATIONSHIP

It is the intention of the Company to establish anddevelop a long term relationship with the Agent. TheCompany recognizes that in order for this relationship tolast, there are certain underlying business practices whichmust be consistent as to the Company and the Agent.Along with compliance with all statutory laws, rules, andregulations to which the parties are subject, both theCompany and Agent must share the desire to providevalue, as well as fair and honest service to the policy-holder and each other.

The Company hereby appoints the Agent to represent itsubject to the following mutually agreed upon terms andconditions.

I. RESPONSIBILITIES OF THE PARTIES

The Agent agrees to:

A. Treat any money received or collected for theCompany as property held in trust, and promptlyremit such money to Company at its home office inRoanoke, Virginia.

B. Adhere to the Company's requirements for thecollection of any premium paid upon application forthe Company's products.

C. Comply with the underwriting and issue requirementsof the Company as well as any and all applicablelegal requirements of the state or states in which theAgent does business.

D. Inform the Company of any and all facts of which theAgent is aware or becomes aware, relating to: a) anyof the Company's products applied for or issued to a

policyholder, and b) the health of any proposed applicant.

E. Hold harmless and indemnify the Company from alllosses, expenses, costs and damages resulting from anyacts by the Agent or its subagents which breach the termsof this contract.

F. Assist the Company in keeping its insurance policies inforce.

G. Carry such Errors and Omissions insurance coverage asthe Company may require.

H. Adhere to all Company requirements including thoserelated to policy application, illustration, and delivery.

I. Train and exercise general supervision over subagentsaffiliated with the Agent.

The Company agrees to:

Contract and appoint individuals as agents or licensees(hereafter referred to collectively as "subagents") whenrequested by Agent, provided that such individual meetsCompany's guidelines for appointment.

II. LIMITATION OF AUTHORITY

The Agent has no authority and specifically agrees not to:

A. Bind the Company to any promise or agreement; incurany debt, expense or liability whatsoever in theCompany's name or for its account; or receive any moneydue or to become due the Company, except the initialpremium on applications or policies, subject to theCompany's requirements for the acceptance of suchmoney and except where the Agent and the Companyexecute a separate collection agreement in writing.

B. Deliver any policy or allow delivery of any policy untilthe initial premium required by the Company has beenpaid in full. The Agent or its subagents shall ask thepolicyholder if the policyholder is in the same conditionas to health, habits, occupation and other facts as repre-sented in the application for this policy. If the policy-holder indicates that a change has occurred in any of theabove areas, the Agent shall not deliver the policy, andthe Company shall be informed of such change.

C. Make, modify, or change any insurance contract, or bindthe Company by making any promises respecting anyinsurance contract except when authorized in writing todo so by the President or a Vice President of the Com-pany.

D. Use any material, including but not limited to all writtenmaterial or audio or video tapes, to solicit a sale of any ofthe Company's products, regardless of whether theCompany's name is on such material, without writtenapproval of the material by the Company.

III. COMPLIANCE / MARKET CONDUCT

A. The Agent specifically agrees that he or she will complywith all Company regulations regarding the use ofillustrations. Further, the Agent agrees to use onlycomplete illustrations which have been provided by theCompany or generated on software provided by theCompany to market the Company's products. The Agentagrees to use only the most current version of the illustra-tion software and accompanying instructions which havebeen provided by the Company.

B. The Agent agrees that it will allow the Company toreview all sales programs, techniques, and methods,including all material shown to or provided to an appli-cant or client, which are used in the solicitation orservicing of the products produced by the Company.

C. The Company shall advise Agent of any action orcomplaint by a state department of insurance relating tothe Agent or any of its subagents and shall provide Agentcopies of all correspondence relating to such action orcomplaint unless Company is precluded from doing so bystate or federal law, regulation or rule or any order of anyofficial of any state or federal agency. The Agent willcooperate with the Company in the investigation of anyinquiry or complaint by any individual or any state orfederal agency. Cooperation shall consist of preparationof a written response addressing the issues raised in theinquiry or complaint as well as providing the Companywith a copy of all applicable marketing materials.

IV. COMPENSATION

The Company will compensate the Agent according to thecompensation schedule in effect at the time the insurancecontract is written or modified.

V. GENERAL PROVISIONS

A. No assignment of this contract or any rights under thiscontract shall be binding on the Company without itswritten consent, and any such assignment shall be subjectto offset or recoupment for any money due the Companyby the Agent as provided for in this contract.

B. The Company shall make available at the HomeOffice within 30 days of Agent's written request, allrecords related to business placed with the Companyby the Agent or its subagents for inspection andexamination by the Agent or its authorized represen-tative. The Company, or its authorized representativemay perform periodic written reviews and/or auditsof all records of the Agent related to business placedwith the Company by the Agent and its subagents.Company shall give Agent thirty (30) days writtennotice of such reviews and/or audits.

C. The Company shall have the right to offset againstany money due the Agent by the Company or recoupany money due the Company by the Agent or itssubagents. As security for this right of offset, theAgent hereby agrees that the Company shall have afirst and prior lien against the compensation providedfor under this contract or any previous contractbetween the Company and the Agent to the extent ofany money due the Company from the Agent, hiaddition to this right of offset, any money due theCompany from the Agent or its subagents is immedi-ately due and payable, and the Agent agrees to payany and all costs, fees and expenses of collecting anysuch money due the Company. The Company shallhave the right to charge the maximum rate of interestallowed by law, not to exceed 12%, on money duethe Company from the Agent and the Agent shall paysuch interest if charged.

D. The Agent shall not have exclusive rights of distribu-tion for any product issued by the Company or forany geographic territory.

E. The Agent shall be solely liable for the expenses ofoperating and maintaining the Agent's agencywithout contribution from the Company.

F. The Agent is an independent business person andshall be free to exercise independent judgment as tothe time and place of performing all acts under thiscontract. The Agent shall be free to represent otherinsurance companies as the Agent sees fit. hi allrespects, the relationship of the Agent to the Com-pany shall be that of an independent contractor andnot an employee of the Company.

G. The Agent and its subagents agree to notify theCompany and the Company agrees to notify theAgent promptly upon receipt of any oral or writtencommunication from an applicant, policyholder,other individual, or state regulatory agency settingforth a complaint relating to the Company policiessold by the Agent or its subagents or the Agent orsubagent's conduct in the solicitation, sale andservicing of Company's policies and contracts. The

Company shall have the right to determine theultimate disposition of such complaint and to makecorresponding adjustments to the commissionaccount of the Agent. Any such determination by theCompany shall be binding on the Agent and itssub agents.

H. The Company shall furnish the Agent with a state-ment of account at such intervals as determined bythe Company but no less frequent then semimonthly.Such statement shall be complete and conclusiveevidence of accounts between the parties to thiscontract, and shall be binding on the Agent unlessobjection is made in writing by the Agent andreceived by the Company within 60 days after thestatement is mailed by the Company, hi addition,Company will promptly deliver to Agent copies of allcorrespondence, including but not limited to lapsenotices between Company and policyholders orformer policyholders solicited under this contract.

I. The failure of either party to enforce any of theprovisions of this contract shall not constitute awaiver by that party of any such or other provisionsof the contract.

J. This contract shall replace any and all previouscontracts between the Agent and the Company.

K. This contract will be governed by and construed inaccordance with the laws of the Commonwealth ofVirginia, without giving effect to its conflict of lawsprinciples and rules. Jurisdiction over any matters ofdispute arising under or by virtue of the Agreementshall rest exclusively in either the state courts of theCommonwealth of Virginia or the federal courtshaving jurisdiction over the Commonwealth ofVirginia.

VI. SOLE AND EXCLUSIVE PROPERTY

A. All reports, training materials, manuals, and records,including computer-related materials (such as CDs,disks, tapes, cassettes, etc.), containing client, salesand/or product information, illustration software, etc.,are and shall remain the sole and exclusive propertyof the Company, subject to inspection and review bythe Company at any and all times.

B. The Agent agrees to surrender the above items, andany and all copies thereof, to the Company immedi-ately upon demand or upon termination of thiscontract. Agent further understands and agrees thatthe Company has the right to terminate Agent's rightto access Company systems, including but not limitedto StarNet.

C. The Agent further agrees not to take or copy any

forms, policies, manuals, policyowner lists, CDs, dis-kettes, tapes, cassettes, or other materials which are theproperty of the Company. The Agent also agrees to returnall licenses, money, policies, manuals, books, papers,sales materials, reports, records, forms, and all otherproperty of the Company then in his charge and control.

VII. TERMINATION IN GENERAL

A. This contract, along with any and all riders, supplements,schedules, amendments, or endorsements to the contract,along with any license or appointment of the Agent andits subagents by the Company, may be terminated 30 daysafter written notice is provided by the Company or theAgent to the other, in person or to the last known addressof the party to be notified.

B. This contract, along with any and all riders, supplements,schedules, amendments or endorsements to the contract,along with any license or appointment of the Agent andits subagents by the Company, will terminate immediatelyupon the termination of the contract with the IndependentMarketing Organization or upon the death of the Agent.

C. Any terms of this contract which by their nature extendbeyond its termination, except as specified in SectionVHI, shall remain in effect until fulfilled.

VIII. TERMINATION FOR CAUSE

A. The Company, at its option, may terminate this contract atany time immediately upon written notice and for causeif the Agent engages in any act of fraud, misappropriationor mishandling of funds, or any other misconduct damag-ing to the Company, violates any of the terms of thiscontract, fails to pay a debit balance on demand, violatesany state insurance law or regulation, or misrepresentsCompany's products or its financial condition.

B. Further, the Company, at its option, immediately uponwritten notice, may terminate this Agreement for cause ormay permanently discontinue payments made pursuant tothis Agreement after termination, if Agent, at any time,(a) takes any action or sanctions any action which resultsin the cancellation, lapse or surrender of Company'spolicies; or (b) endeavors to induce representatives todiscontinue their contracts or appointments with Com-pany.

EX. PAYMENTS AFTER TERMINATION

A. Except as otherwise provided for herein, upon termina-tion of this contract, the Company shall continue to paycompensation to the Agent in accordance with the otherprovisions of this contract and the compensation schedulein effect at the time of termination.

1. No bonuses will be earned or payable after thedate of termination of the contract.

2. All compensation due under this contract shall beterminated after any calendar year in which theAgent's total compensation shall be less than $500for that year. For example, if the Agent's totalcompensation in a given year is $501, the Agent willcontinue to receive compensation the following year.If the Agent's total compensation is $499 in a givenyear, no further compensation will be due the Agentunder this contract.

3. Upon termination, all compensation will be paid byelectronic fund transfer.

B. In the event that this contract is terminated due to thedeath of the Agent, any compensation accruing after thedate of termination will be paid, subject to Sections V. C.

and Vm. above, in the following order of prefer-ence:

1. A beneficiary named by the Agent on formsprovided by the Company and received by theCompany prior to the Agent's death; or

2. The spouse of the Agent if he or she survivesthe Agent by more than 30 days; or

3. The Agent's estate, executors or adminstratorsas determined by the Company.

C. If this contract is terminated for cause in accordancewith Section VIE, all future and current compensa-tion due Agent shall be forfeited.

PLEASE PRINT OR TYPE

Complete Section A only if the Agent is contracting with the Company as an individual (in which case, all Aj

level compensation will be paid to the Agent as an individual). Complete Section B only if the Agentjs-^ncorpo-

rated and this contract is between the Company and the Agent's corporation (in which case, all Agent level

compensation will be paid to the corporation unless the Agent completes a separate Agenj^eontract as an indi-

vidual with the Company).

SECTION A SECTION B

Individual Agent Name (Print or Type)

Signature of Agent

Social Security NujirtSer

Corporate Agent Name (Print or Type)

Signature of Authorized Officer

Name of?s«tiionzed Officer (Print or Type)

Federal Tax Identifirahon NumberifiratKjn IS

Name of Independent Marketing Organization (IMO)

HOME OFFICE USE

Signature of Shenandoah Life Company Officer

This contract shall take effect on

with the anniversary of this date.

Agent Number

and subsequent contract years shall begin

#4943-IMO-Rev. 1/01


Direct Delivery from Home Office availableon Policy-by-Policy Basis in all states!

Shenandoah Life agents have the choice of receiving policies for personal deliveryor having the home office directly deliver policies to policyholders by mail - ON APOLICY-BY-POLICY BASIS!

The policy-by-policy selection is available for Golden Promise®, Mortgage Protector®,Shenandoah Term, Shenandoah Whole Life, and all Altis® plans!

• Choose a delivery option on each application you write.

We are in the process of adding this question to the appropriate applications. On applications that do notyet have the delivery option question, write in "Mail to policyholder" or "Mail to agent" in the SpecialRequests section.

• You will need to make a policy-by-policy selection on applications for all products - Golden Promise®,Mortgage Protector®, Shenandoah Term, Shenandoah Whole Life, and Altis® plans. If the deliveryquestion is not answered and the Special Requests section is blank, the policy will be mailed to you.

• Direct delivery of policies to policyholders is available in all states.

In Virginia, for universal life policies, an acknowledgement form (Form 5748) will be produced with policyprint; it must be signed by the policyowner and returned to the Home Office.

• Annuity policies and Legacy Solution® policies will always be mailed to the agent for personal delivery.

• In Alabama and Mississippi, all Golden Promise® and Mortgage Protector® policies will be mailedto policyholders.

Agents in Alabama and Mississippi will choose a delivery option policy-by-policy for Shenandoah Term,Shenandoah Whole Life and Altis policies.

• Policies for foreign language policy owners and policies with no CWA or VWA more than $4.99 lessthan the modal premium also require delivery by the agent.

If you have any questions about policy delivery,please call our Contact Center at 888-823-9156.

Form 5055A-4/06


Licensing Requirements forMedicare Supplement Sales

Licensing requirements for Medicare Supplement sales are different in some states than the requirements for life sales.

The majority of states in which we do business require a separate line of authority for health sales. If you arelicensed in any of these states and wish to solicit or sell Medicare Supplement with Shenandoah Life, please reviewthe information below:

Alabama Indiana New MexicoArizona Kansas Ohio

Arkansas Kentucky OklahomaColorado Maryland PennsylvaniaDelaware Michigan South Carolina

D.C. Mississippi TennesseeFlorida Missouri West VirginiaIowa Nebraska

Illinois New Jersey

These states require a separate line of authority for health sales. If you are licensed in any of these states and wish towrite Medicare Supplement with Shenandoah Life, you will need to provide us with a copy of your license in the statesapplicable to you, showing the health line of authority, and we will appoint you for health sales in that state. We musthave a record of this line of authority before you can solicit or sell our Medicare Supplement product. If yousubmit a Medicare Supplement application and we do not have a record of your health line of authority,the application will be returned. Please include a copy of your health line of authority with your contractingpaperwork.

North CarolinaNorth Carolina requires a specific Medicare Supplement line of authority. If you intend to solicit or sell ShenandoahLife's Medicare Supplement product in North Carolina, you will need to provide us with documentation of that license.

If you submit a Medicare Supplement application and we do not have a record of your Medicare Supplementdocumentation for North Carolina, the application will be returned.

Include a copy of your Medicare Supplement line of authority with your contracting paperwork. Please contactthe North Carolina Department of Insurance with any questions about the Medicare Supplement line of authority(www.doi.state.nc.us, Licensing Information Line, 919-981-5244).

All other states in which we offer Medicare Supplement (Georgia, Louisiana, Texas and Virginia) provide jointlines of authority for life and health sales. If you are licensed in these states and wish to solicit or sell MedicareSupplement with Shenandoah Life, you only need to provide a copy of your license with your contracting paperwork.

If a new license or line of authority is required in your resident state for health sales and you want to write MedicareSupplement with Shenandoah Life, we will pay for your resident appointment only for health sales. You will beresponsible for the cost of appointment fees for non-resident states.

We look forward to assisting you with your Medicare Supplement sales. If you have any licensing questions, pleasecontact your Contracting & Licensing specialist: Karen Furrow, ext.4308; Stacy McLaughlin, ext.4348; Lynn Shepherd,ext.4470; or Wanda Williams, ext. 4335; or Nancy Rutherfoord, Manager, ext. 4481. If you have product questions,please contact Sales Development, 800-848-5433, ext. 2001.

As always, thank you for your business!

Form 5055B-6/06

Documents

SHENANDOAH LIFE - thefinancialmp.com