Revised Forms Required 1/1/21: Financial Needs Analysis and Disclosure & Comparison of Annuity Contracts

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Revised Forms:

Financial Needs Analysis And

Disclosure & Comparison of Annuity Contracts

Effective November 10, 2020; Required January 1, 2021 

Revised Financial Needs Analysis and Disclosure & Comparison of Annuity Contracts forms are available now on AppBuilder and E-App. The revisions are a result of updates to the NAIC Suitability in Annuity Transactions Model Regulation (MDL 275).

Transition Period

Both the current and new (11-20) FNA and Disclosure & Comparison of Annuity Contracts Forms will be accepted during the November 10, 2020 to December 31, 2020 transition period. The new versions must accompany all annuity apps received on or after January 1, 2021. Please see below for a list of the appropriate forms.

Financial Needs Analysis (FNA)

The generic FNA  ET-2506(11-20) applies to all annuity sales in all approved states, except California, Florida and Massachusetts where state variations apply:

• California: ET-2506CA(11-20)
• Florida: ET-2506FL(6-19)
• Massachusetts: ET-2506MA(11-20)

The updated EquiTrust Annuity Suitability Agent User Guide (11-20) includes information and guidance on completing the FNA form, in addition to comprehensive compliance of suitability regulations. To view and print, click here.

Disclosure & Comparison of Annuity Contracts Forms

These forms must be submitted for each contract being replaced (including partial and penalty-free transfers) in addition to any state-required replacement form(s).

MarketPower Bonus Index

Generic ET-MPP-4901(11-20)

AK, CT, ID, IL, MT, NV, NJ, OH, OK, OR, PA, TX, UT, VT, WA ET-MPP-4901B(11-20)

Minnesota ET-MPP-4901MN(11-20)

MarketSeven Index

Generic ET-MK7-4901(11-20)

California ET-MK7-4901CA(11-20); Minnesota ET-MK7-4901MN(11-20)

MarketTen Bonus Index

Generic ET-MTB-4901(11-20)

California ET-MTB-4901CA(11-20); Minnesota ET-MTB-4901MN(11-20)

MarketValue Index

Generic ET-EIA-4901(11-20)

AK, CT, DE, ID, MT, NJ, NV, OH, OK, OR, PA, TX, UG, VT, WA ET-EIA-4901B(11-20)

California ET-EIA-4901CA(11-20); Minnesota ET-EIA-4901MN(11-20)

Certainty Select

Generic ET-MYG-4901(11-20)

California ET-MYG-4901CA(11-20); Minnesota ET-MYG-4901MN(11-20)

ChoiceFour

Generic ET-SPA-4901(11-20)

California ET-SPA-4901CA(11-20); Minnesota ET-SPA-4901MN(11-20)

Confidence Income  

Generic ET-SPIA-4901(11-20)

California ET-SPIA-4901CA(11-20); Minnesota ET-SPIA-4901MN(11-20)

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.