EFTA01202987.pdf

Jackson National Life Insurance Company PO Box 305153. NasiMle TN 37230-5153 Phone 80 37-8854 Fax 803-333-7879 Visit us al JACKSON® NATIONAL LIFE INSURANCE COMPANY PAYMENT NOTICE DARREN K INDYKE RISC how We/ vivid MI/10g kny34/ 0 4,9fror dizoorD 4t e AN/M.4M r thole) i POLICY NO. INSURED DUE DATE DESCRIPTION AMOUNT VILD004735 JEFFREY E EPSTEIN 11/19/14 ANNUAL PREMIUM DUE $9,382.40 AMOUNT DUE $9,382.40 IMPORTANT INFORMATION: Paying by check authorizes Jackson National Life Insurance Company to send the information horn your check electronically to your bank for payment. Your account mil be debited in the amount of your check and the transaction will appear on your bank statement. You will not receive your cancelled check back. 11 we cannot post the transaction electronically, you authorize us to present a copy of your check for payment. Payment must be received by the due date shown above or your poUcy will enter its gram period end wil terminate if the renewal premium is not received by the last day of the grace period, unless your policy has a net cash value and provides for and coverage continues under any of the following: 1) a nonlortoiture option, 21 an option to discontinue premium payments, or 31 an automatic premium loan election. Common nonforfeiture options are the purchase of extended term insurance, the purchase of reduced paid-up insurance or you may surrender your policy for the net cash value. Refer to your pokey for time limits and options available. ike Volk 01 Mitt So00,000 -155e0at VZoi/990 20 yose leve( RDA RETAIN THIS PORTION f OR YOUR RECORDS , RETURN THIS POETRY! WITH YOUR PAYMENT POLICY NUMBER INSURED'S NAME 89,382.40 VIL0004735 JEFFREY E EPSTEIN__ Amount Due on 11/19/14 MAKE CHECK PAYABLE TO Jackson National Life Insurance Company $9,392.40 $ Premium Payment ▪ Making multiple full payments. Late Premham Rear Sill so 00 $ • Meiling address change indicated on back. Loan Repayment $0.00 $ Total Amount Due $9,392.40 $ Enclose your payment with this coupon and send to: Additional Payment $ Total Amount Enclosed S Jackson National Life Insurance Company PO Box 371425 Pittsburgh, PA 15250-7425 352509130430303437333500000000000011191412009382401435500938240000000005 EFTA01202987  JACKSON® NATIONAL LIFE INSURANCE COMPANY Rev.06/2013 WHAT DOES JACKSON NATIONAL LIFE INSURANCE COMPANY (Jackson) FACTS DO WITH YOUR PERSONAL INFORMATION? Financial companies choose how they share your personal information. Federal law gives consumers the Why? right to limit some but not all sharing. Federal law also requires us to tell you how we collect, share, and protect your personal information. Please read this notice carefully to understand what we do. The types of personal information we collect and share depend on the product or service you have with us. This Information can include: • Social Security Number • Birth Date What? • Address • Financial Information • Medical History When you are no longer our customer, we continue to share your information as described in this notice. All financial companies need to share customers' personal information to run their everyday business. In How? the section below, we list the reasons financial companies can share their customers' personal information; the reasons Jackson chooses to share; and whether you can limit this sharing. Doec Jackson Reasons we can share your personol information Can you limit this snaring? Share? For our everyday business purposes — such as to process your transactions, maintain your account(s), respond to court orders Yes No and legal investigations, or report to credit bureaus For our marketing purposes— to offer our products and services No We don't share to you For joint marketing with other financial companies No We don't share For our affiliates' everyday business purposes — information No We don't share about your transactions and experiences For our affiliates' everyday business purposes— information No We don't share about your creditworthiness For nonaffiliates to market to you No We don't share Jackson National Life Insurance Company Questions? PO Box 305153 Nashville TN 37230-5153 TPA3116B Rev. 06/2013 EFTA01202988  JAC KSa N® NATIONAL LIFE INSIJRANCL COMPANY WHAT WE DO How does Jackson protect my To protect your personal information from unauthorized access and use, we use personal information? security measures that comply with federal law. These measures include computer safeguards and secured files and buildings. Employees are bound to a Code of Conduct requiring all information be kept in strict confidence, and are subject to disciplinary action for violation of the Code. We restrict access to nonpublic personal information to those employees who need to know that information to provide products and services to you. How does Jackson collect my We collect your personal information, for example, from personal information? • information we receive from you on applications and forms; • information about your transactions with us; • information we receive from a consumer reporting agency; • information we obtain from others in the process of verifying information you provide us; and • individually identifiable health information, such as your medical history, when you have applied for a life insurance policy. Why can't I limit all sharing? Federal law gives you the right to limit only • sharing for affiliates' everyday business purposes — information about your creditworthiness • affiliates from using your information to market to you • sharing for nonaffiliates to market to you State laws and individual companies may give you additional rights to limit sharing. Definnton... Affiliates Jackson does not share with our affiliates. Nonaffiliates Jackson does not share with nonaffillates so they can market to you. Joint Marketing Jackson does not jointly market. TPA31168 Rev. 06/2013 EFTA01202989