L&HIllinoismedium
Under 50 Ill. Adm. Code 917, when an applicant indicates that the new policy will replace an existing contract, the producer must complete and submit which document with the application?
A Replacement Disclosure Statement signed by both the applicant and producer
BA statement of producer commissions
CAn IRS Form 1035
DA producer-only memorandum kept in the agent's file
Why this is the answer
In a replacement transaction the producer must complete a Replacement Disclosure Statement that identifies the existing policy and the reasons for the replacement. Both the applicant and the producer must sign the form and it must be submitted to the replacing insurer with the application. A 1035 form addresses federal tax treatment, not Illinois replacement disclosure, and a producer-only memorandum or commission statement cannot substitute for the required disclosure.
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