31 Pa. Code § 90c.23
(c) Indication of membership. Each application, except an exchange or conversion application, for insurance on the life of an adult contains the following:
‘‘Is the applicant a member of (
)?’’
‘‘Yes
No ’’
‘‘If not, apply for membership.’’ This complies with § 89.102(d)(5).
(d) Signatures.
(1) Signatures on life insurance applications are as follows:
(i) If the proposed insured is an adult (18 or over), a member and is the applicant, the application for insurance contains:
‘‘Proposed Insured’s Signature
’’
(ii) If the proposed insured is an adult and not a member, the application for insurance contains:
‘‘Proposed Insured’s Signature
’’
‘‘Member Applicant’s Signature
’’ ’’