 Improved Annuity Application and
Required March 17, 2020
We are pleased to announce improvements to Annuity Applications used in most states, and State Replacement forms.
Annuity Applications The new application forms – dated 08-19 – apply to all annuity products for all states, with two exceptions: • California – use the current Annuity Application: ANN-APP(12-16) • Pennsylvania – for Confidence Income Annuity sales use 436-121(03-06)
State Variations – Annuity Applications • Delaware, North Dakota, South Dakota – ET-APP(08-19) • Florida – ET-APPFL(08-19)
Transition Rules Either the new 08-19 applications or the current applications may be used now and through the end of this month. Beginning March 17, the new 08-19 applications will be required. If you have preprinted application packets for states other than California, please replace them.
State Replacement Forms Revised replacement forms – dated 02-20 – are also available now for all applicable annuity sales.
Available For Use Now The new 08-19 applications and replacement forms are available now on AppBuilder and E-App.
Questions? Call Sales Support 
Products underwritten and issued by EquiTrust Life Insurance Company, West Des Moines, Iowa. Products distributed by EquiTrust Insurance Marketing Services; in California doing business as EQT Insurance Marketing Services.  
IC19-ECN-1120 FOR PRODUCER USE ONLY EquiTrust 7100 Westown Pkwy Suite 200 |