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Term Life Insurance

By clicking the AGREE box below, I consent to provide my e-signature for purposes of the following disclosures. I acknowledge that my consent only applies to these disclosures and cannot be withdrawn and I acknowledge that I have read and understood the following disclosures:

Privacy Disclosure

At Dollar Bank Insurance Agency, Inc., we take very seriously our obligation to keep your information confidential. Dollar Bank Insurance Agency, Inc. will not sell customer information to third parties for their marketing purposes. You do not have to sign anything to get this protection. You get it automatically for being a customer of Dollar Bank Insurance Agency, Inc.

As you know, insurance requires the gathering of information. Information about you comes to us through applications or other forms, through your transactions with us, our affiliates and others and from consumer reporting agencies. As a Dollar Bank Insurance Agency, Inc. customer, you can expect this information to be protected. We honor this expectation with a privacy policy that provides even greater protection than is required by law.

Despite our commitment to protecting your information as much as we can, certain circumstances make it necessary to disclose information to others.

We believe that you will agree that disclosure under the following circumstances is reasonable:

  • To make disclosures as required by law, such as on receipt of a subpoena.
  • To help prevent loss or fraud, for example by cooperating with law enforcement agencies investigating financial crimes.
  • To meet the agency’s obligations to credit bureaus and similar agencies, for example by reporting delinquent premium payments.
  • To provide insurance carriers with all relevant information on the policy being offered for sale.
  • To perform services for you or the Agency - we may disclose certain information to parties who provide those services, for example by providing application information to an insurance underwriter.
  • To facilitate your insurance transactions, for example by setting up a pre-authorized premium payment from your account.

In addition, we will protect your information. If we use others to help deliver our insurance services to you, we use strict confidentiality agreements. We maintain physical, electronic and procedural safeguards that comply with federal standards to protect all customer information. Dollar Bank Insurance Agency, Inc. restricts access to your information to those employees who need to know that information to provide products or services to you. And we protect your information in the same way even when you stop being a customer.
We hope you can see how much we care about protecting your privacy. If you have any questions regarding the use of your customer information, please contact us at 412-261-DBIA or toll-free at 1-866-588-DBIA (3242).

Insurance Sales Disclosure

  • The insurance is NOT a deposit account or other obligation of, nor is it guaranteed by Dollar Bank or any affiliate of Dollar Bank.
  • The insurance is NOT insured by the Federal Deposit Insurance Corporation (FDIC) or any other agency of the United States, Dollar Bank or any affiliate of Dollar Bank.

NOT FDIC INSURED. NOT A DEPOSIT. NOT INSURED BY ANY FEDERAL GOVERNMENT AGENCY. NOT GUARANTEED BY DOLLAR BANK, FSB. 

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