Life Insurance that Grows with Your Child
IN SOME STATES WE ARE REQUIRED TO ADVISE YOU OF THE FOLLOWING: Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application containing a false, incomplete, or deceptive statement of a material fact may be guilty of insurance fraud.
To the best of my knowledge and belief, the answers above are true and correct. I understand that I am the Policy’s Owner and Beneficiary, unless another Beneficiary is named. I also understand the insurance is NOT EFFECTIVE UNTIL ISSUED and any premium will be refunded if the policy is not issued.
Having considered my present life insurance coverage I feel that the policy applied for is of the amount and kind of insurance I need to supplement my present life insurance coverage and is therefore not unsuitable for me.
In connection with your application for Insurance underwritten by Guarantee Trust Life Insurance Company (“GTL”), you acknowledge and understand that GTL is required by law to provide you with certain information relative to (i) electronic delivery of disclosures, notices and other electronic communications (collectively, “Electronic Records”) and (ii) electronic signature. Federal law, including the E-Sign Act and the Uniform Electronic Transactions Act, and certain state laws, allow GTL to provide information to its customers in electronic format, with your prior consent. Federal and state law also requires GTL to obtain your consent to use electronic signatures in forming the insurance contract.
By using this website to apply for Insurance, you understand that you will be bound by these Terms and Conditions which describe GTL’s use of electronic signature and its delivery of Electronic Records.
By providing your electronic signature, you are consenting to the use of Electronic Records and Electronic Signatures. You acknowledge that you: (1) understand the terms and conditions of receiving insurance documents, disclosures and other communications electronically; (2) have the necessary hardware and software that allow you to receive and view Electronic Records; (3) have a valid active email account; and (4) are responsible for accessing, opening, and reading communication GTL sends or makes available to you in electronic format. GTL will consider electronic communication to be received by you upon successful delivery to the designated email address you provide. You also acknowledge that your Electronic Signature is legally binding and enforceable and is the legal equivalent of your handwritten signature.
Electronic Policy/Certificate Fulfillment
Unless otherwise requested by you, all documents that form our insurance relationship will be provided to you in electronic format. These documents include:
Your consent does not apply to policy lapse or termination notices.
In order to access and view communications and documents GTL makes available to you electronically, you must:
to it. To ensure Electronic Records are not blocked in email or spam filters, please add GTL’s domain, gtlic.com, to your safe sender list.
To ensure you have them when you need them, you should print copies of the documents we send through Electronic Communication. However, you may request from us one paper copy of your policy / certificate fulfillment package free of charge. Except where prohibited by law, we may charge a nominal fee for additional copies requested after the first. You may contact us with your request in writing, by phone, or email as indicated in our Company Contact Information, shown below.
We reserve the right to provide paper copies in lieu of Electronic Communication. We would do this in the event of, but not limited to, a system outage, if we suspect fraud, or where the designated email address you have provided to us does not accept emails from us.
At our discretion, we reserve the right to modify the terms and conditions stated herein. This includes modifying the terms to include additional instances for Electronic Communication other than policy or certificate fulfillment. If we do, we will provide you with notice of such change, its effective date electronically and your choices under the new terms and conditions.
You may elect to withdraw your consent for Electronic Records at any time by contacting us in writing, by phone, or through the Policyholder – Customer Service link on GTL’s website. Please see the Company Contact Information below.
Guarantee Trust Life Insurance Company ATTN: Policyholder Service
1275 Milwaukee Avenue
Glenview, IL 60025
Go to www.gtlic.com. Click on the Customer Service tab at the top of the screen. Choose Customer Support. In the Customer Support site there is a Contact Us option you may use to email us your request.
I acknowledge that I have read the terms & conditions for Electronic Signature & Delivery of Electronic Records. (For a paper copy of your policy, call 1-800-338-7452.)
If you consent, Guarantee Trust Life Insurance Company (GTL) will transmit documents related to your policy by electronic means, to the extent that electronic transmission is consistent with applicable state and federal law. Any document that we send by electronic means, which complies with applicable law, will have the same force and effect as if that document was sent in paper format.
Unless you request otherwise, documents that form our insurance relationship will be provided to you electronically. Electronic records and other communications that GTL can send to you electronically include, but are not limited to:
GTL will only transmit documents to you electronically if you consent. Your consent is voluntary. If the policyholder or insured or owner has permitted electronic transmissions in the past, that authorization does not obligate the same procedure regarding this policy as well.
If you decide that you want to receive documents electronically, GTL will provide one paper copy per year of any document, at no charge to you, upon your request.
You can change your mind at any time and have GTL transmit documents via paper mail by notifying us in writing, by phone, or through the Customer Service link on GTL’s website. Please see the Company Contact Information below.
If you wish to correct or change the email address GTL uses to send you documents, you can do so at any time by notifying us in writing, by phone, or through the Customer Service link on GTL’s website. Please see the Company Contact Information below.
Go to www.gtlic.com. Click on the Policyholder Service tab at the top of the screen. Choose “Customer Service” from the list of options to communicate with us.
Guarantee Trust Life Insurance Company’s website is www.gtlic.com.
I acknowledge that I have read the Voluntary Electronic Opt-in Consent Disclosure.