A replacement form is now required for your customers in Louisiana who wish to replace their existing Disability Income or Critical Advantage coverage with a policy from Mutual of Omaha.
Please see the chart below for important effective dates.
| Product Name | Policy Numbers | Application Format | Effective Date |
| DI Choice-Long-Term Disability/Short Term Disability/Accident Only | D81, D82, D83 | Paper application | 1-15-2020 |
| DI Choice at Work | D81M, D82M, D83M | Paper application | 1-15-2020 |
| Priority Income Protection | ICC15DT2 | Paper application | 1-15-2020 |
| Priority Income Protection | ICC15DT2 | E-application | 1-20-2020 |
| Critical Advantage | CP1, CP2, CP3, CP4 | Paper and e-application | 1-20-2020 |
The replacement form will be included in the Louisiana application packet and Forms and Materials on the dates shown above.
Please note: There will be NO replacement form needed for Disability Income Choice Business Overhead Expense.
Mutual of Omaha is committed to offering you and your clients income protection solutions along with remaining compliant with state insurance departments.
If you have any questions, please contact your Sales Director.
New Replacement Notice for DI and Critical Advantage Products
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