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Regulation31 Pa. Code § 90c.23

Applications of fraternal benefit societies.

Pennsylvania · PAID
First seen July 21, 2026 · last checked July 21, 2026
Version history
v1fetched Jul 21, 20269a382ffe0744
Full text
Public law · full text
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(a) Application form. The words ‘‘A Fraternal Benefit Society’’ appear in conspicuous type on the application form. This complies with § 89.102(d)(6) (relating to guidelines for approval of forms).
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(b) Separation of applications. Membership and insurance applications are not combined. Questions relating to membership are not included in the insurance application. This complies with § 89.102(d)(1).
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(c) Indication of membership. Each application, except an exchange or conversion application, for insurance on the life of an adult contains the following:
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‘‘Is the applicant a member of (
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)?’’
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‘‘Yes
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No
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’’
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‘‘If not, apply for membership.’’ This complies with § 89.102(d)(5).
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(d) Signatures.
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(1) Signatures on life insurance applications are as follows:
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(i) If the proposed insured is an adult (18 or over), a member and is the applicant, the application for insurance contains:
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‘‘Proposed Insured’s Signature
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’’
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(ii) If the proposed insured is an adult and not a member, the application for insurance contains:
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‘‘Proposed Insured’s Signature
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’’
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‘‘Member Applicant’s Signature
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’’
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(iii) If the proposed insured is a child, the application for insurance contains:
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‘‘Adult Applicant’s Signature
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’’
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(2) This complies with § 89.102(d)(2)—(4).