This is our MYGA Bank Authorization Form. This form is used to establish or change a bank account to make and/or receive payment for policies and contracts.
The Diamond Head MYGA (Generic Policy Forms ICC21-MYGA21, ICC22-MYGA22 and MYGA21-CA) is a single premium deferred annuity. May not be available in all states.
These are the Temporary Disability Insurance (TDI) instructions to complete the Employer's Premium Statement. The reporting period is from 1/1/2022-1/1/2023. All information to be provided on the Employer’s Premium Statement pertains to this reporting period.
Introducing Pacific Guardian Life's (PGL) online Temporary Disability Insurance (TDI) billing feature available on Pono ‘Oe, our Employee Benefits portal.
If needed, fill out this form and submit.
BENEFICIARY DESIGNATION. Percentages from Supplemental Beneficiary page, and either the application or request to change in beneficiary form, must equal 100%.
This is the 72(u) Tax Deferred Treatment Certification Form.
Allocations need not be equal. Allocations for primary beneficiaries must equal 100%. Allocations for contingent beneficiaries must equal 100%. If additional space is needed, please attach Supplemental Beneficiary form.
If needed, please fill out the form and submit.
If you would like to have your check delivered to someone other than yourself, please complete this form in its entirety.