N.H. Admin. Code § Saf-C 5605.23

Current through Register No. 44, October 31, 2024

Section Saf-C 5605.23 - Written Authorization

(a) For the purposes of RSA 260:14, V(a)(10), a written authorization shall be submitted on letterhead.

(b) The request shall contain the following:

(1) Date of execution;

(2) Name of life insurance company authorized to write life insurance policies in the state of New Hampshire, or its authorized agent;

(3) The following information about the individual whose record is being sought:

a.Name;

b.Address;

c.Date of birth;

d.Driver license number; and

e.Signature of the individual whose record is being sought.

(c) Approved written authorization shall be retained by the life insurance company, or its authorized agent, for a period not less than 5 years.

(d) A life insurance company, or its authorized agent, shall produce approved written authorization upon request by the department, or its authorized agent.

N.H. Admin. Code § Saf-C 5605.23

#7621, EXEMPT, eff 1-1-02

Amended by Volume XLI Number 6, Filed February 11, 2021, Proposed by #13152, Effective 12/31/2020, Expires EXEMPT.