An illustration used in the sale of a life insurance policy shall satisfy the applicable requirements of this rule, be clearly labeled “life insurance illustration” and contain the following basic information:

1. A. name of insurer;
2. B. name and business address of producer or insurer’s authorized representative, if any;
3. C. name, age and sex of proposed insured, except where a composite illustration is permitted under this rule;
4. D. underwriting or rating classification upon which the illustration is based;
5. E. generic name of policy, the company product name, if different, and form number;
6. F. initial death benefit; and

7. G. dividend option election or application of non-guaranteed elements, if applicable.

   [10/1/98; Recompiled 11/30/01]