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Underwritten by AXA ROSENBERG FAMILY Benefit Election Form Long Term Care - Policy 138644 Unum Life Insurance Company of America LTC Department 2211 Congress Street Portland Maine 04122 Social Security Number Date of Birth MM/DD/YYYY - - / / Home Telephone Work Telephone Gender Male Female Your Name Last Name First Middle Initial Street Address City State Zip Code Employee s Name Employee Social Security No. Employee Date of Birth / / Applicant...
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Start by gathering all the necessary personal information, such as your full name, date of birth, and contact details.
02
Provide details about your current health conditions, including any pre-existing medical conditions or chronic illnesses.
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Fill out information about your lifestyle habits, such as smoking or drinking habits, to accurately assess potential risks.
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Individuals who want to protect their family members financially in the event of their permanent disability or death.
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People who have financial dependents, such as spouses, children, or aging parents.
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Individuals who wish to safeguard their family's future by ensuring sufficient funds for education expenses, mortgage payments, or other ongoing financial obligations.
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AXA FAM stands for AXA Financial Activity Monitoring. It is a regulatory requirement for financial institutions to monitor and report suspicious activities in order to prevent money laundering and terrorist financing.
Financial institutions such as banks, insurance companies, and securities firms are required to file AXA FAM reports.
AXA FAM reports can be filled out electronically through the designated reporting system provided by regulatory authorities. Financial institutions need to enter relevant customer information, transaction details, and suspicious activity descriptions.
The purpose of AXA FAM is to detect and report suspicious financial activities that might be related to money laundering and terrorist financing. It helps regulatory authorities to identify and prevent illegal financial transactions.
Financial institutions must report customer identification information, transaction details, suspicious activity descriptions, and any supporting documentation related to the reported activities.
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