
Get the free SPLIT DOLLAR AGREEMENT - GovInfo
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C 3,00,000/Please AFX
passport size
photograph
of Insured
Person 2DateCodePlease AFX
passport size
photograph
of Insured
Person 4Name of the Agent / Species Person of Corporate Agent / Broker
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How to fill out split dollar agreement

How to fill out split dollar agreement
01
Identify the parties involved in the split dollar agreement, typically an employer and employee.
02
Determine the purpose of the agreement, whether it is for life insurance, retirement planning, or other benefits.
03
Decide on the funding arrangement, such as whether the employer or employee will pay the premiums.
04
Specify the terms of the agreement, including the amount of coverage, the policy owner, and beneficiary designations.
05
Ensure legal review and approval of the agreement to protect the interests of both parties.
Who needs split dollar agreement?
01
Employers looking to provide additional benefits to key employees.
02
Employees seeking life insurance coverage or retirement planning assistance.
03
Business partners wanting to establish a formal agreement for financial arrangements.
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What is split dollar agreement?
A split dollar agreement is a type of arrangement between an employer and an employee where the costs and benefits of a life insurance policy are divided between the two parties.
Who is required to file split dollar agreement?
The employer is typically required to file the split dollar agreement.
How to fill out split dollar agreement?
To fill out a split dollar agreement, both parties need to agree on the terms of the arrangement and then document it in a written contract.
What is the purpose of split dollar agreement?
The purpose of a split dollar agreement is to provide life insurance benefits to an employee while also allowing the employer to recover some of the costs.
What information must be reported on split dollar agreement?
The split dollar agreement should include details such as the terms of the arrangement, the names of the parties involved, and the amount of coverage.
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