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Assurity Accident Insurance

Policy form I H2203
an individual Accident Insurance policy

Not for residents of CA, MA, MT, NH, NM, NY, VA
In IL, the Disability Income Rider is not available.

Product Brochure

Consumer Brochure

Summary of policy features

For use in the following states: AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KA KY LA MD ME MI MN MO MS NC ND NE NJ NV OH OK OR PA RI SC SD TN TX UT VT WI WV WY

15-485-012801-23 rev 12-25

Product Brochure

Consumer Brochure for WA

Summary of policy features - for Washington State only

For use in the following states: WA

15-485-012801-23-WA rev 12-25

Sample Policy

Sample Policy - 24 hour, Base, without the Disability Income Rider

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For use in the following states: DC DE GA HI IA ID KY ME MS NC NE NV OH SC WI WV

I H2203

Sample Policy

Disability Income Rider

Sample Disability Income Rider for WA.

For use in the following states: WA

R I2208-WA

Privacy

Consumer Notice

Information practices

For use in the following states: AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KA KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY

75-652-05055 (R06-22)

Application Process

Request a Signature-Ready Application

Fill out this intake form to request a fully prepared, signature-ready application via DocuSign.

For use in the following states: AL AK AR AZ CO CT DC DE FL GA HI IA ID IN KA KY LA MD ME MI MN MO MS NC ND NE NJ NV OH OK OR PA RI SC SD TN TX UT VT WA WI WV WY

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