DOL Form Revised, Immediate Use Required
 
NGL has simplified the required Department of Labor (DOL) Source of Funds Disclosure and Acknowledgement form (4100-PTE 84-24 10/17). Use of the form is required immediately. The newly revised form:
  • Has been scaled back to align with industry standards;
  • Is still required to be completed with your client when tax-qualified funds are used to purchase a life insurance policy or annuity;
  • Still should NOT be submitted with new business paperwork. It is to stay with your records for six years; and,
  • Is required to be used immediately.
This newly revised form (4100-PTE 84-24 10/17)  is available for you to order, download or print from your supplies page at MyNGLIC.com.

 
Additional Resources
•          The U.S. Department of Labor's Fiduciary Duty Rule website is a timely resource for ongoing information as the DOL examination of the Fiduciary Rule continues.

 
Please contact NGL's dedicated Life Product Support team at 800-762-9883 or lifeproductsupport@nglic.com with questions.
 
Thank you.
 
 
 
 
For agent use only. National Guardian Life Insurance Company is not affiliated with
The Guardian Life Insurance Company of America a.k.a. The Guardian or Guardian Life.