Midland National A Sammons Financial Company

Constance®

group contingent deferred annuity (CDA)

Service forms

Service forms

State Replacement Requirement Form
Alaska NAIC replacement form 6779
Alabama NAIC replacement form 6779
Arizona NAIC replacement form 6779
Arkansas NAIC Rreplacement form 6779 & 12338-AR
California Required for external replacement 6779-CA
Colorado NAIC replacement form 6779
Connecticut Current company practice requires form (not required by state) 6779
Delaware Required for external replacements 6779-DE
District of Columbia Current company practice requires form (not required by state) 6779
Florida State specific replacement form 6779-FL,
6153 & 6153-A
Georgia Life policy to annuity requires form
NAIC replacement form
6779
Hawaii NAIC replacement form 6779
Idaho State specific replacement form 6779-ID
Illinois State specific forms required for external replacements 6779-IL-A & 6779-IL-B
Indiana State-specific replacement form 6779-IN
Iowa NAIC replacement form 6779
Kansas State specific replacement form 6779Y-KS-B
Kentucky NAIC replacement form 6779
Louisiana NAIC replacement form 6779
Maine NAIC replacement form 6779
Maryland NAIC Replacement Form required for external replacements 6779
Massachusetts State specific form required for external replacements 6779-MA
Michigan Current company practice requires form (not required by state) 6779
Minnesota State specific form required for external replacement 6779-MN
Mississippi NAIC replacement form 6779
Missouri NAIC replacement form 6779-NAIC
Montana NAIC replacement form 6779
Nebraska NAIC replacement form 6779
Nevada State specific replacement forms required 6779-NV & 12338-NV
New Hampshire NAIC replacement form 6779
New Jersey NAIC replacement form 6779
New Mexico NAIC replacement form 6779
North Carolina NAIC replacement form 6779
North Dakota Current company practice requires form (not required by state) 6779
Ohio NAIC replacement form 6779
Oklahoma State specific replacement form 6779-OK
Oregon NAIC Replacement Form 6779
Pennsylvania State specific form required for external replacements 6779-PA
Rhode Island NAIC replacement form 6779
South Carolina NAIC replacement form 6779
South Dakota NAIC replacement form 6779
Tennessee State specific form required for external replacements 6779-TN
Texas NAIC replacement form 6779
Utah NAIC replacement form 6779
Vermont NAIC replacement form 6779
Virginia NAIC replacement form 6779-NAIC
Washington State specific form required for external replacements 6779-WA
West Virginia NAIC replacement form 6779
Wisconsin NAIC replacement form 6779
Wyoming State specific form required for external replacements 6779-WY

 

 

The Certificate is designed to protect investors who are concerned that, either because of withdrawals over time, poor market performance, or both, their Covered Asset Pool may be depleted during their lifetime. To address that need, the Certificate in effect provides a limited form of insurance against outliving your assets. The Certificate has no cash value, surrender value or death benefit. The Certificate is intended for long-term investment purposes. You should consider the risks and expenses of the annuity carefully before investing. The prospectus contains this and other information. You may contact your financial professional or call 877-575-2742 to obtain a current prospectus for the contingent deferred annuity. Please read it carefully.

The Constance® Group Contingent Deferred Annuity (AG206A (contract) and AC206A (certificate) is issued by Midland National ® Life Insurance Company, West Des Moines, Iowa 50266, distributed by Sammons Financial Network ®, LLC., member FINRA. The Constance ® Group Contingent Deferred Annuity is not available in New York.

Product and feature availability may vary by state and program sponsor. In some states, the annuity is issued as an individual contract instead of a group certificate.

Sammons Financial Network ®, LLC. and Midland National ® Life Insurance Company are wholly owned subsidiaries of Sammons ® Financial Group, Inc.

The Constance ® group contingent deferred annuity is not a subscription service and the amounts you pay for the benefits provided by this annuity are referred to in the group contract and certificate as fees. Failing to pay the required fees may result in termination of benefits including the “coverage amount” described herein.

Registered investment advisors* (financial advisors) who work with our appointed insurance agents (financial professional(s)) operate independently from Midland National and vary in the extent to which they use the insurance products available to any respective financial professional.

*Midland National does not evaluate, endorse, recommend, or guarantee the services of any financial advisor. You have the relationship and hiring decisions with your financial advisor. As such, we will not supervise or monitor the financial advisor’s activities or your overall investment portfolio, nor are we responsible for the performance of your investments. We have no discretionary authority or control, or liability for any damages with respect to how your financial advisor manages your investment assets.

Midland National ® Life Insurance Company does not give tax, legal, or investment advice. Please consult with and rely on your own tax, legal, or investment professional(s).

The Constance ® Group Contingent Deferred Annuity can play an important role in your retirement plan but may not be for everyone. Before investing, you and your financial advisor should discuss aspects that affect the appropriateness of your situation, including cost, investment timeframe and other retirement assets you may have.

Guarantees are backed by the claims-paying ability of Midland National ® Life Insurance Company. They are not backed by the broker/dealer from which this contingent deferred annuity is purchased, by the insurance agency from which this contingent deferred annuity is purchased, or any affiliates of those entities, and none makes any representations or guarantees regarding the claims-paying ability of Midland National ® Life Insurance Company.

Only certain investments are available under the Certificate. You are required to invest assets in accordance with either a model portfolio or a restricted asset allocation portfolio. Your investments may experience a higher return if you were not subject to the investment requirements. We may change the requirements for the assets permissible under the coverage. We may remove a financial institution from our list of approved financial institutions at any time. Please review prospectus carefully.

The Certificate is not designed for resale or speculation, arbitrage, viatical settlements, or any type of collective investment scheme. The contract cannot be traded on any stock exchange or secondary market. By purchasing the contract, you represent and warrant that you are not purchasing or intending to use the contract, and any of its riders, for resale, speculation, arbitrage, viatical settlements, or any type of collective investment scheme.

Securities distributed by Sammons Financial Network ®, LLC., member FINRA. Insurance products are issued by Midland National ® Life Insurance Company (West Des Moines, IA). Sammons Institutional Group ®, Inc. provides administrative services. Sammons Financial Network ®, LLC., Midland National ® Life Insurance Company and Sammons Institutional Group ®, Inc. are wholly owned subsidiaries of Sammons ® Financial Group, Inc.  Sammons Retirement Solutions ® is a division of Sammons Institutional Group®, Inc.

NOT FDIC/NCUA INSURED, MAY LOSE VALUE INCLUDING LOSS OF PRINCIPAL, NO BANK/CU GUARANTEE, NOT A DEPOSIT, NOT INSURED BY ANY FEDERAL GOVERNMENT AGENCY.

4309813

33334Y-CREV 3-25