(Please print and attach to your policy your state's corresponding amendment)

ARKANSAS
CONNECTICUT
GEORGIA
ILLINOIS
INDIANA
KANSAS
KENTUCKY - policy stuffer
KENTUCKY
MAINE
MARYLAND
MISSOURI
NEBRASKA
NEVADA
OHIO
OKLAHOMA
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS - policyholder notice
TEXAS
VERMONT
WASHINGTON DC
WISCONSIN
WYOMING