Attachment A Guaranteed Issue Checklist

Financial Professional, FP Branch: _ ____________________________ Date: ___________

Client Information:

Corporation/Employer name: _________________________ __________________________________

Address: _____________________________________________________________________________

Website: _____________________________________________________________________________

Nature of Business: _____________________________________________________________________

Type of Organization: ___________________________________________________________________ (Publicly Traded Corporation, Privately Held Corporation, Sub Chapter S, etc)

BUSINESS INSURANCE

Persons authorized to transact business on behalf of Owner: Name: ____________________________________________________________________Title:_____________ Name: ____________________________________________________________________Title:_____________

Total Assets (as of last fiscal quarter): $_____________________________________________

If the answer above is less than $50 million, please answer (a) and (b) below. a. Net Income (last fiscal quarter): less than $500,000 $501,000−2 million

$2 million−5 million $5 million−10 million $10 million+

b. Net Worth (last fiscal quarter): less than 0 $0−500,000

$501,000−2 million $2 million−5 million $5 million−10 million

$10 million +

Purpose: Key Person Buy-Out Funding Deferred Comp.

Salary Continuation Executive Bonus Overhead Expense

Qualified Retirement Plan Investment/Savings 401(k) Plan

125 Cafeteria Plan (Other)

1

Type of Business: Manufacturing Wholesale Transportation

Agriculture Construction Service

Professional Service Mining Retail

Financial, Real Estate Insurance (Other)

No. of Employees: 10−24 25−49 50−99 100−499 500+

Employer Data:

Is this a Voluntary Plan? Yes No Is this a Mandatory Plan? Yes No

If a voluntary plan, what is the level of percentage participation anticipated? _________ %

Total # of employees in the Company: _______

Total # of eligible employees to be covered with permanent plan: _________

Total # of eligible participating in plan________ (Participation Rate)________

Eligibility Requirements:

How were the proposed insured’s selected? ________________________________________________ (define eligibility – for new entrants into the plan)

Titles: _____________________________

Salary Ranges:______________________

Years of Service:_____________________

Are there any known substandard or uninsurable risks in the group? Yes No

If yes, please provide details: _____________________________________________________________

_____________________________________________________________________________________

Maximum Age ___________________________________(maximum insurance age 70)

Minimum Age ___________________________________ (minimum insurance age 21)

Are all eligibles US citizens? Yes No

Are all eligibles residing in the US? Yes No

2

Employer/Trust Owned o Deferred Compensation

o SERPo Deferral

o Account Balance Only Plano Account Balance + Life Insurance Death Benefit

o 401(k) Look Alikeo Endorsement Split Dollaro Key Persono Death Benefit Onlyo Stock Redemptiono Pension Plan

Employee Owned

o 162 Bonuso Group Term Carve Out/Replacement

Describe in detail the Plan Design (specific formula) and how individual face amounts are determined:

_____________________________________________________________________________________

_____________________________________________________________________________________

Policy Information:

Proposed Product ______________________________________________________________________

Who will pay the premiums? _____________________________________________________________

Who will be the policyowner? ____________________________________________________________

Who will be beneficiary? Corporation or Individual/Trust? _____________________________________

How will the policy proceeds be allocated? __________________________________________________

Estimated Total Face amount _____________________________________________________________

Estimated Total First Year Premiums _______________________________________________________

Estimated Level of Renewal Premiums _____________________________________________________

3

Who chooses the funds and the allocations:

Employer Employee

Indicate the annual activity that will occur within this plan:

Salary Changes New Entrants

Features/Riders:

Anticipated sales date: __________________________________________________________________

State where application will be signed: _____________________________________________________

*Refer to the most current instructions for Guaranteed Issue requirements (i.e., minimum case premium,

number of lives, etc.) and procedures.

*Refer to appropriate product guide for product specific requirements.

Other Guaranteed Issue Coverage

Are there GI plans in force or being applied for? Yes No

If yes, provide plan design and year of implementation, carrier, and amount of coverage on each employee on GI basis: _____________________________________________________________________________________

_____________________________________________________________________________________

Will all plans be placed? Yes No

Is replacement intended? Yes No

Will this sale involve premium financing? Yes No

Please attach a copy of the Program Booklet.

Return completed forms and fully completed census via e-mail (PDF & Excel format) to:

Cecilia.Celebran@axa-equitable.com

John.Bautista@axa-equitable.com 4

Signature of Authorized Officer Date

Print Name and Title of Authorized Officer

Signature of Financial Professional Date

Print Name of Financial Professional

Census Form to: AXA Equitable Life Insurance Company

which is hereinafter referred to as ‘‘the Company.’’

(Note: Please photocopy if additional copies of this form are needed.)

Name of Owner of Policies

Census for Application Number

Proposed Insured's

Name

Date of

Birth Age Gender SS# Job Title

Annual

Salary

Initial

Face

Amount

Initial

Premium

Payment

Periodic

Premium

Payment

Death

Benefit

Option A or

B Work Address

Work Zip

Code

Residence

Address

Residence

Zip Code

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

Census Confirmed and Authorized by: Date:

Title of Person Signing:

Print Name

AXA301-03

Any person who knowingly and with intent to defraud any insurance company files an application or statement of claim containing any materially false, misleading or incomplete information is guilty

of a crime which may be punishable under state or federal law.

Instant access to productand plan information

how can I give my clients better service?

Business Strategies Service Unit Support

AXA focuses on meeting the needs of closely held business owners and their financial and legal advisors.

We believe the markets in which closely held business owners operate, and the complexity of regulations they face, require more expertise than any one professional can deliver. That’s why we emphasize multi-disciplinary teamwork, including close coordination with clients’ other trusted advisors.

We work with the service provider of choice for all financial professionals in the closely held business marketplace.

Our Unique Approach• We have a dedicated focus on the closely held

business market. This is the market we serve, and our experience in this market is broad and deep across disciplines, and in the specific guidance we help advisors bring to their clients.

• We work with business owners’ existing advisors, building professional networks based on mutual trust. Serving as the insurance professional supporting the client’s team, we respect the other professional resources and networks that have helped business owners create success.

• Our Business Strategies Service Unit (BSSU) and information-reporting platform recognize all financial professionals authorized by the business client. We provide all authorized professionals the same level of access to financial reports and details that we make available to the advisors who represent us.

• We provide access to plan and policy information on our secure website. This information is helpful and/or required to monitor plan and policy or account performance, as well as plan administration. Typically, this information is updated after the close of each business day.

• We provide tax information reports for those concepts and strategies that involve compensation and/or imputed income.

a model based on mutual trust

Helping business owners protect, preserve and pursue more value from their business, more tax efficiently!®

Types of Plans Recognized and Supported

Business Protection and Preservation

• Buy-Sell Arrangements

• Stock/Entity Redemptions

• Key Person Indemnity & Retention

Executive Benefits (includes all annual tax reporting)

• Split-Dollar Plans

• Executive Bonus Arrangements

• Non-Qualified Deferred Compensation Plans

Qualified Pension

• All plan design types except 412(e) and 419

Employer-Sponsored Supplements

• Retirement

• Life Insurance

Estate Planning Specific to Business Owners

• Section 303 Pre-funding

• Section 6166 Arbitrage

• Estate Equalization

Available Reports

Global Level

• Business Client Listing

• Plans Listing

• Key Advisors and Intermediaries

• Taxation Reports Listing

Business Client Level

• Plan Listing and Descriptions

• Client Financial Summary

• Taxation Reports for a specific business client

• IRS Form 8925 Report for plans subject to IRC Section 101j

Plan Level

• Plan Description

• Plan Financial Summary/Plan Assets/ Performance Summary

• Life Insurance Details and Performance Summary

• Investment Account Details and Performance Summary

• Plan-Level Tax Reporting

• Key Contacts and Intermediaries

Policy Level

• Participant, Policy and Account Details

• Policy and Account-Level Performance

• Tax Report — policy-, account- and participant-specific

AXA’s Business Strategies PlatformGive your clients better service with access to AXA’s Business Strategies Service Unit and our industry-leading Business Strategies web-based service platform. Our Business Strategies Service Unit Support offers support for financial professionals across a wide range of Executive Benefit plans. Moreover, our support for these plans is easy to set up and access.

Report Features and Options

• Many reports have customizable columns and features.

• Most reports are downloadable as CSV files for direct import to Excel, Access and most commercially available accounting, tax and administration software.

• Downloads typically include more information than is shown on the screen reports.

• All reports can be viewed and all functionality can be utilized by authorized advisors.

Sample Reports:

The Value of Focused Teamwork

Our service department fully recognizes our clients’ other advisors.

Multiple advisors can be authorized, deleted, or added quickly and easily. Qualified pension plans and non-

qualified deferred compensation plans require third-party administrator (TPA) authorization prior to policy issue.

Each advisor is given access to:

Easy Secure Access

An ID and password for access to the client’s information

An archive service for important documents related to each plan

Automatic notification of transactions, consistent with the plan purpose

Recognition on our platform, should advisors contact Business Strategies Service Unit (BSSU) or our National Operations Center (NOC)

The financial professional who chooses to recommend AXA has a dedicated focus on the closely held business market. He or she serves this market by listening to clients’ priorities and then creating or joining multi-disciplinary teams of advisors, including attorneys and CPAs, who work together to provide practical advice and solutions to meet clients’ unique financial goals.

We believe this is the best formula for leveraging our experience and expertise, and yours, to help clients protect and grow the value of their businesses.

We want to learn more about your firm, and we hope you will make a point of learning more about us. We look forward to opportunities to work with you.

Ranked #1insurance brand in the world for six consecutive years*

AXA Group has been

59countriesAXA Group is present in

depend on AXA, part of the global AXA GroupHave confidence in the insurance company that you choose — with financial strength to fulfill

its duty to you, now and in the future. All guarantees are based solely on the claims-paying

ability of the issuing company — either AXA Equitable or MLOA.

Providing stability and reliability to our clients

since

1859

*Interbrand, 2009–2014, AXA press release, October 9, 2014.

AXA Equitable

With a heritage of over 150 years, AXA Equitable, one of the nation’s premier providers of life insurance and annuity products, and its affiliate MONY Life Insurance Company of America (MLOA) have been helping individuals and small businesses develop effective financial strategies.

“AXA” is the brand name of AXA Equitable Financial Services, LLC and its family of companies, including AXA Equitable Life Insurance Company (NY, NY), MONY Life Insurance Company of America (AZ stock company, administrative office: Jersey City, NJ), AXA Advisors, LLC, and AXA Distributors, LLC. AXA S.A. is a French holding company for a group of international insurance and financial services companies, including AXA Equitable Financial Services, LLC. This brand name change does not change the legal name of any of the AXA Equitable Financial Services, LLC companies. The obligations of AXA Equitable Life Insurance Company and MONY Life Insurance Company of America are backed solely by their claims-paying ability.

GE-102430 (4/15) (Exp. 4/17)

Please be advised that this document is not intended as legal or tax advice. Accordingly, any tax information provided in this document is not intended or written to be used, and cannot be used, by any taxpayer for the purpose of avoiding penalties that may be imposed on the taxpayer. The tax information was written to support the promotion or marketing of the transaction(s) or matter(s) addressed and you should seek advice based on your particular circumstances from an independent tax advisor.

© 2015 AXA Equitable Life Insurance Company. All rights reserved.

1290 Avenue of the Americas, New York, NY 10104

G35117 Cat. #153012 (4/15)

FOR FINANCIAL PROFESSIONAL USE ONLY. NOT FOR DISTRIBUTION TO THE PUBLIC. IU-94517 (5/14)

AXA Distributors, LLC, New York, NY 10104. AXA Equitable Life Insurance Company is the parent company of AXA Distributors, LLC.

May 13, 2014

AD14-0513 For Financial Professional Use Only

Audience: Financial Professionals

Re: Updated Guaranteed Issue Guidelines

From: Underwriting

What’s New:

This communication updates the Guaranteed Issue (GI) program and documents the guidelines financial professionals should follow to request GI. It also details the criteria for determining eligibility and face amounts.

A new Guaranteed Issue application, GI-AXA-2012 and Consent to Insurance form CI-AXA-2012 with applicable state variations has been introduced. The new GI application and Consent to Insurance forms are available on eDOX: Products & Forms > Life Products > AXA Life Products > AXA Life Product Forms > Guaranteed Issue Applications. These forms are also available via iPipeline’s “Basic Forms Search” function from the e-Forms for Life landing page.

The old GI application forms will be accepted concurrently until June 17, 2014. After that date, only the new GI application forms will be accepted. E-forms for Life/E-app will not support the new GI application forms until a future release.

GI is available on all permanent single life policies.

To request GI underwriting, an FP must submit a completed GI Check-list and excel census form for review and approval before applications are taken.

Before taking an application: o Contact Advanced Marketing to secure an excel version of the census form and a PDF

auto-fillable version of the GI Check-list. (These documents will be sent to you via e-mail).

o The Guaranteed Issue Unit must approve the case and release the Guaranteed Issue Agreement Letter.

o The client and the FP must sign and return the GI Offer Letter to the Guaranteed Issue Unit.

When:

Effective immediately.

For More Info:

See the following pages for details. If you have any questions, contact your Advanced Marketing Team.

Guaranteed Issue Guidelines The Guaranteed Issue program is designed to ease the administration on cases involving a large number of lives with a high percentage of participation. The program should enhance the marketability of life insurance products in many business situations. It is not intended to provide insurance for substandard or uninsurable lives by waiving routine medical requirements. The GI program relies heavily on group underwriting principles designed to prevent anti-selection. Field underwriting is critical to maintain the program. The writing FP must inform AXA of any known impaired lives in the group. The program will be monitored carefully and modified based on experience and activity. Any questions relating to the GI Program should be referred to the Advanced Marketing Team. The age limits for eligible employees will be reviewed on the basis of a census. The average issue age cannot be over 55. Issue ages are 20 – 70. A GI unit must have the participation of at least 10 eligible employees. For all permanent products, sex distinct and tobacco user and non-tobacco user rates will apply, as appropriate, for each individual in the unit. AXA reserves the right to revise, modify or discontinue, at any time and without prior notification, any of the requirements and/or procedures associated with the GI program. Guaranteed Issue Requirements

1. This program is designed for the non-qualified marketplace. The principal should not be the main driver of the sale. There must be an employer/employee relationship. GI is not available to associations or foundations, unions or governmental units.

2. Each eligible life must be classified by the employer as a full-time professional, (minimum 30 hours a week), “highly compensated” employee or director, and must be able to answer “yes” to the “actively at work” questions on the application.

3. Part-time employees are not eligible for GI and will not be counted as census participants. Such personnel are subject to regular underwriting if they are to be insured.

4. Directors must have professional occupations and cannot comprise more than one-third of all eligible participants. They must be actively-at-work and full time employees (minimum of 30 hours a week) and will be eligible for a reduced amount of life insurance coverage.

5. The GI face amount is generally a flat amount requested for each life in the group or determined by a formula for all the lives in the group, such as two or three times salary. AXA will review the relationship between the amount of insurance applied for, the individuals’ employee’s compensation and the number of eligible participants to determine the appropriate level of GI Coverage. Other formula-driven criteria may be considered on an individual case basis, subject to approval by the Guaranteed Issue Unit.

6. No individual selection with regard to face amount or participation will be permitted. 7. The classes and total number of eligible employees must be clearly defined. If only certain

classes of individuals are to participate, these classes should be based on clearly defined conditions of employment, such as salary, pay grade, group insurance amount, length of service and job title. The FP should provide an explanation of the plan design and how it applies to each participant. All currently eligible employees within each class must be included on the list of eligible participants. Employees who are not yet eligible should not be included.

8. If an individual declines to enter the plan when initially eligible, but decides to do so on a subsequent date, regular underwriting rules will apply.

9. Coverage in addition to the GI amount is subject to regular underwriting rules and product requirements. A separate application is required; if approved, a separate policy will be issued.

10. The maximum face amounts of GI coverage per life and minimum participation levels of the eligible group are as follows:

Number of Eligible Maximum Face Amount Minimum Participation %

10-14 $30,000 x # of lives 100%

15-19 $40,000 x # of lives 100%

20-25 $50,000 x # of lives 100%

26-49 $50,000 x # of lives 85%*

50 $50,000 x # of lives 75%*

51 or more $60,000 x # of lives, up to $5,000,000 maximum per life

75%*

*@ 100% amounts are $55,000, $60,000 & $65,000 respectively

Enhanced Guaranteed Issue Limits: For Deferral Cases with Account Balance Only, Equal Face Amounts and Cases with Employer-Owned Funded at 7 – Pay Premium.

Number of Eligible Maximum Face Amount Minimum Participation %

10-14 $50,000 x # of lives 100%

15-19 $50,000 x # of lives 100%

20-25 $60,000 x # of lives 100%

26-49 $65,000 x # of lives 75%*

50 $65,000 x # of lives 70%*

51 or more $70,000 x # of lives, up to $5,000,000 maximum per life

70%*

* @ 100% amounts are $70,000, $70,000 & 75,000 respectively

The GI amount of any one life cannot exceed five times the average guaranteed issue amount on all participants. In addition to using the formula, the case must make financial underwriting sense in terms of total GI coverage. Existing amount of GI inforce on a given life (in all companies) will reduce the amount of GI available. Furthermore, the total GI coverage issued by all carriers cannot exceed three times AXA’s GI offer for that group (referred to as the “stacking limit”). The GI amount of any one life cannot exceed the maximums for the product selected and cannot exceed AXA’s retention.

11. Each proposed insured should be a permanent resident of the U.S. Consideration on a case-by-

case basis may be given to U.S. citizens temporarily residing abroad or foreign nationals with extended stays in the U.S., subject to the face-amount limits specified in the offer.

12. All insurance applications must be taken by a properly licensed FP in an approved jurisdiction. 13. GI is not available on term or survivorship products. 14. Conforming illustrations are required for GI cases. 15. Benefits and Riders:

a. Living Benefits Rider (LBR) is available on GI, provided the policy face amount is $50,000 or higher (and is on each participant’s policy).

b. Disability Premium Waiver, if offered on the product, is available only if requested by all eligible participants.

c. Return of Premium Rider (ROPR) is available at 0% accumulation rate. d. All other optional riders, including Long-Term Care Rider, are not available on a GI basis.

HOW TO REQUEST GUARANTEED ISSUE

To request GI underwriting, an FP must submit a completed GI Check-list and an excel formatted AXA301-03 for review and approval before applications are taken.

One of the assigned COLI Underwriters will review the request. If approved, a Guaranteed Issue Agreement Letter will be sent to the FP for acceptance. The letter will discuss case specifics and processing instructions.

The employer and FP must sign the Guaranteed Issue Agreement letter and return it to the COLI underwriter prior to submitting any applications. Once reviewed and approved, the FP will be advised that applications may be taken.

Submission of Applications

1. The National Operations Center (NOC) will not accept GI applications without an approved Guaranteed Issue Agreement letter, as described in the section above.

2. Mandatory procedures must be followed for all Employer-Owned Life Insurance (EOLI) sales – refer to AD 10-041, AD 09-058, AD 08-129, AD 08-022, AD 07-017 and “Advanced Marketing E-Notices – May 2009 and February 15, 2008.” EOLI cases will not be issued unless the Acknowledgement of Disclosure Form is received at the NOC.

3. FPs should ensure that the minimum number of lives and participation requirements are met before submitting applications.

4. In all cases, replacement, sex distinction, tobacco and actively –at-work employment questions on the application must be answered. For individually owned contracts the Consent To Insure Form (copy attached, must be fully completed, dated and signed by the insured and owner).

5. For cases involving one owner and multiple proposed insureds, the appropriate state approved application AXA-GI-2012 and Consent to Insurance form AXA-CI-2012 are required. If the policy is to be individually owned, only the AXA-GI-2012 application or the appropriate state variation is required.

6. In addition, Section B – Product Information form and Section C Owner Questionnaire (if Trust Owned) is to be fully completed, dated and signed.

7. Applications must be submitted without any premium payments. Once the required number of applications is received and given underwriting approval, the COLI Unit will notify you via e-mail and authorize the FP to collect premiums for the approved policies.

Compensation Recovery If the case fails to maintain the minimum percent of participation for GI purposes during the first policy year, AXA reserves the right to recover all compensation paid. This rule is in addition to any commission chargeback that is part of the product’s compensation schedule. New Entrants to GI Units Newly eligible employees for an existing plan, which include new hires, promotions and transfers, will be considered for GI on a case-by-case basis and must meet all of the criteria established for individuals originally eligible for participation in the unit. The requirements for the unit as a whole must continue to be satisfied. (Number of participants still in plan and participation rates). All new entrants to an existing unit will require prior approval from the Guaranteed Issue Unit. Utilizing AXA301-03 auto-fillable census (all field completed) form should reflect existing participants and the proposed new entrants into the plan. As part of the underwriting review work and residence addresses (on all participants) must be furnished on the AXA301-03 form. An analysis of our concentration of risk guidelines currently in place at the time of current submission for new entrants will be completed. Refer to AD 09 – 059 (Corporate-Owned or Employer-Sponsored Life Insurance Involving Multiple Lives). AXA reserves the right to either reduce coverage or decline additional participants due to concentration of risk limits exceeding published guidelines. Increases in Coverage

1. All increases in coverage on a GI basis to an existing group (where available) will require prior

approval from the Guaranteed Issue Unit. A current AXA301-03 excel formatted form must be submitted with existing participants (all fields completed) and columns reflecting existing coverage in force, proposed amount of the increase and a column with the total life insurance that is to be in force. Revised procedures, updated programs and product availability can affect future offer agreements.

2. Each GI Agreement will cover rules and guidelines for considering additions to existing groups. 3. Increases in coverage after issue will not require underwriting, subject to the following guidelines:

Increases will be allowed on the first anniversary following the date of the event that caused the increase and on subsequent plan anniversaries.

Increases must be based on the original GI coverage formula

The increases must be approved at the time the original GI unit was reviewed and approved.

The maximum yearly increase that qualifies for guaranteed issue cannot exceed a percentage of the total current coverage based on attained age. The percentages are as follows:

Attained Age Maximum Percentage

Increase

50 and below 20% 51-59 15% 60-64 10%

65-69 5%

70 and above 0

The active-at-work and full-time employment requirement must be satisfied at the time of each increase. Increases must be mandatory for all eligible employees. The firm cannot choose which employees will receive increases. If an increase is not taken in a given year, no future increases will be allowed for that employee without evidence of insurability.

The requirements for the group as a whole must continue to be satisfied. 4. A new policy may be issued for the increased coverage if the increase cannot be added to the

original policy. However, the new policy must meet the minimum face amount rules for the product used.

• Individual selection with regard to Face Amount

• Associations

• Foundations

• Unions• Government units• Survivorship life

insurance• Term life insurance

The Guaranteed Issue (GI) program is designed to ease the administration on cases involving a large number of lives with a high percentage of participation. The program should enhance the marketability of life insurance products in many business situations. Whether this program is appropriate for your client’s needs and other pertinent questions are answered below.

Why should I use the Guaranteed Issue program?

On cases involving a large number of highly compensated

key employees, it is often helpful to streamline the

process of applying for and obtaining life insurance. One

common misconception about GI programs revolves

around substandard risks. AXA Equitable’s GI program is

not intended to provide insurance for substandard or

uninsurable lives by waiving routine medical requirements.

Substandard risks often require full underwriting.

Who is eligible for GI?

AXA Equitable’s Guaranteed Issue program is designed for

“white collar” or “top-hat” employees. It is typically used

for non-qualified benefit plans and/or key person

indemnification. All Insureds should be permanent

residents of the U.S. The program works best with publicly

traded corporations and employers that have characteristics

similar to:

• A compensation committee

• A board of directors

• And a principal that cannot be the main driver of the sale

An employer/employee relationship has to exist and these must be a high percentage of participants, with the employees being full-time, professional and “highly compensated” employees. Note that if an individual declines participation when initially eligible, but later decides to participate, regular underwriting rules will apply.

How do I know which employees are right for GI?

Issue ages are 20–70, with the average issue age for GI being no older than 55. The GI Face Amount is generally a flat amount requested for the whole group or determined by a formula such as two or three times salary. Also, a GI unit must have participation of at least 10 highly compensated employees (salaries of $100K +).

What is not appropriate for GI?

If a case involves any of the following aspects, then it would be inappropriate for consideration and would not be accepted in AXA Equitable’s GI program:

questions and answers

Advanced Markets

underwritingAXA Equitable’s Guaranteed Issue Program

Life Insurance: • Is Not a Deposit of Any Bank • Is Not FDIC Insured • Is Not Insured by Any Federal Government Agency • Is Not Guaranteed by Any Bank or Savings Association • Variable Life Insurance May Go Down in Value

For Financial Professional Use Only. Not for Use with, or Distribution to, the General Public.

1 The writing producer must inform AXA Equitable of any known impaired lives in the group.

“AXA” is the brand name of AXA Equitable Financial Services, LLC and its family of companies, including AXA Equitable Life Insurance Company (NY, NY), MONY Life Insurance Company of America (AZ stock company, administrative office: Jersey City, NJ), AXA Advisors, LLC (member FINRA, SIPC), and AXA Distributors, LLC. AXA S.A. is a French holding company for a group of international insurance and financial services companies, including AXA Equitable Financial Services, LLC. The obligations of AXA Equitable Life Insurance Company and MONY Life Insurance Company of America are backed solely by their claims-paying ability.

Life insurance is issued by AXA Equitable Life Insurance Company or Mony Life Insurance Company of America (MONY America), and is distributed through AXA Distributors, LLC and AXA Network, LLC. AXA Equitable, MONY America, AXA Distributors and AXA Network are affiliated companies located in New York, NY 10104.

All guarantees are based on the claims-paying ability of the issuing company, either AXA Equitable Life Insurance Company (New York, NY) or MONY Life Insurance Company of America.

AXA Equitable, AXA Distributors and AXA Network do not provide tax or legal advice.

© 2015 AXA Equitable Life Insurance Company. All rights reserved.

1290 Avenue of the Americas, NY, NY 10104, (212) 554-1234

G35108 IU-101760 (3/15) (Exp. 3/17) Cat. #141746 (03/15)

For Financial Professional Use Only. Not for Use with, or Distribution to, the General Public.

For More Information on Our Guaranteed Issue Coverage Limits or General GI Guidelines, Please Contact Your AXA Equitable Regional Vice President or Advanced Markets or Visit Us at AXA.com.

What are the procedures for submitting GI documents and when should I submit applications?

The submission process is different for GI.

The steps are as follows:

1 The producer submits a completed GI checklist and

census to be reviewed by Underwriting.1

2 If the case is suitable for GI, a Guaranteed Issue Offer

Agreement letter will be sent to the producer.

3 Both the employer and producer must sign and submit the

Guaranteed Issue Offer Agreement letter to Underwriting.

4 After the Guaranteed Issue Offer Agreement letter is

received by Underwriting, applications are submitted.

5 No premiums are to be collected until advised by the

Underwriting department.

Where do I send my completed GI documents?

A completed GI checklist in PDF format, and census information in an Excel file utilizing AXA301-03, should be sent via e-mail to:

Cecilia Celebran, Director

E-mail: cecilia.celebran@axa.us.com

Advanced Markets

Business Insurance Made Easy AXA Equitable’s Guaranteed Issue Program – A Success Story

The Case

A pharmaceutical company with 78 key employees wanted to implement an executive bonus program. Moreover, they wanted to address the program needs with one policy on each individual to help their executives once they left the company. However, for 78 employees, this can be a daunting task. If this was your case, how would you like to take all the applications? Enrollment could take quite a bit of time.

The AXA Equitable Difference Fortunately, for this Financial Professional, his wholesaler introduced him to AXA Equitable’s Guaranteed Issue (GI) underwriting program. GI is a streamlined underwriting process with few medical questions and minimal paperwork. Instead the underwriting is based on formulas andemployee classifications. AXA Equitable’s GI program is exclusively designed for use with white collar, highly compensated employees of businesses with groups of ten or more executives to be covered. That was exactly the situation with the pharmaceutical company.

The Success with AXA Equitable The results using our GI program can be very impressive. Take a look at the results for this case:

Date required “GI Checklist” and final Census was received by AXA: July, 2014

Issue Date: Jan. 2015

Total Policies: 78

Total Coverage: $47 Million

Target Premium: $598k

Using the AXA Equitable Guaranteed Issue program, the employer was able to secure a supplemental benefit for its key people. In addition, the General Agent was able to make a fan of the Financial Professional by helping place a large case easily with great support.

The employer also made the policies portable so when the employees leave they can take the unique benefit with them. When everything is in order, a multi-life GI case can move very quickly. If you encounter business cases with at least ten highly compensated white collar executives, contact your AXA Equitable sales representative to see how easy business insurance can be.

GI Guidelines

Guaranteed Issue is available with all of AXA Equitable and MONY America permanent, single life products. Guidelines for AXA Equitable’s Guaranteed Issue program are detailed in Field Bulletin AD09-097. Note that the face amount limits and participation requirements have been revised since the bulletin’s release. The enhanced amounts are shown below.

Basic GI Limits:

Number of Eligible Maximum Face Amount* Minimum Participation %

10-14 $30,000 × # of lives 100% 15-19 $40,000 × # of lives 100% 20-25 $50,000 × # of lives 100% 26-49 $50,000 × # of lives 85%**

50 $50,000 × # of lives 75%** 51 or more $60,000 × # of lives 75%**

*Up to a maximum face amount of $5,000,000.**At 100% participation maximum face amounts are $55,000, $60,000 & $65,000 per participant, respectively

Enhanced GI Limits: For Deferral Cases with Account Balance Only, Equal Face Amounts and Employer-Owned Cases Funded at “7-Pay” Premium

Number of Eligible Maximum Face Amount* Minimum Participation %

10-14 $50,000 × # of lives 100% 15-19 $50,000 × # of lives 100% 20-25 $60,000 × # of lives 100% 26-49 $65,000 × # of lives 75%**

50 $65,000 × # of lives 70%** 51 or more $70,000 × # of lives 70%**

*Up to a maximum face amount of $5,000,000.**At 100% participation, maximum face amounts are $70,000, $70,000 & 75,000 per participant, respectively

For More Information, Please Call the Life Insurance Sales Desk or visit us at www.axa.com

"AXA" is a brand name of AXA Equitable Financial Services, LLC and its family of companies, including AXA Equitable Life Insurance Company (NY,NY), MONY Life Insurance Company of America (AZ stock company, administrative office: Jersey City NJ) AXA Advisors, LLC, and AXA Distributors, LLC. AXA S.A. is a French holding company for a group of international insurance and financial services companies, including AXA Equitable Financial Services, LLC. This brand name change does not change the legal name of any of the AXA Equitable Financial Services, LLC companies. The obligations of AXA Equitable Life Insurance Company and MONY Life Insurance Company of America are backed solely by their claims paying ability.

Life insurance products are issued by AXA Equitable Life Insurance Company, NY, NY., or MONY Life Insurance Company of America an Arizona stock corporation with its main administrative office at Jersey City, NJ. MONY America is not licensed to do business in NY. Variable life insurance is co-distributed by affiliates AXA Advisors, LLC and AXA Distributors, LLC, located at 1290 Avenue of the Americas, New York, NY 10104, (212) 554-1234.© 2015 AXA Advisors, LLC and AXA Distributors, LLC. All rights reserved.

1290 Avenue of the Americas, New York, NY 10104, 212-554-1234

For Financial Professional Use Only • Not For Distribution to the Public

IU-102409 (4/15) (Expires 4/17)

Universal Life is co-distributed by AXA Network, LLC. and AXA Distributors, LLC.