Effective November 1, 2020 we will be discontinuing the Arkansas state special version of the Living Promise paper application (form number: D389LAR12A). Arkansas will now use the Living Promise interstate compact application (form number: ICC14L643A).

Please note, Arkansas only allows the Living Promise Level benefit product. Arkansas does not allow the Living Promise Graded benefit product.
 
Transition Rules

• Living Promise paper applications using the old Arkansas application (form number: D389LAR12A) must have a signed date on or before November 15, 2020 and must be received in the home office by November 30, 2020.
• After November 30, 2020 all Living Promise paper applications must be submitted using the new paper application (form number: ICC14L643A). Along with the new application, there is a revised Producer Report form (L8532_0615) and the Authorization to Disclose Personal Information form (L8232_0913) is no longer required.

If you have any questions, please contact Mutual of Omaha’s Sales Support at (800) 693-6083.
 

Living Promise Paper App Update – Arkansas Only
 

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