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1. Parties: Identification of the Transferor (current policyholder), Transferee (new policyholder), and Insurance Company
2. Background: Brief context of the transfer, including the original policy details and reason for transfer
3. Definitions: Key terms used in the document including 'Policy', 'Transfer Date', 'Premium', 'Insured Risk'
4. Policy Details: Complete details of the insurance policy being transferred including policy number, type of coverage, and current status
5. Transfer Declaration: Formal statement of transfer of rights and obligations from transferor to transferee
6. Effective Date: Specific date when the transfer becomes effective
7. Consent and Acknowledgment: Insurance company's consent to the transfer and acknowledgment of the new policyholder
8. Premium Status: Current status of premium payments and any outstanding amounts
9. Signatures: Execution section for all parties including transferor, transferee, and insurer's authorized representative
1. Beneficiary Details: Required for life insurance transfers - details of any beneficiary designations and whether they will be maintained or changed
2. Medical Information Release: Required for health insurance transfers - authorization for release of medical information to the new policyholder
3. Vehicle Details: Required for motor insurance transfers - specific information about the insured vehicle
4. Property Details: Required for property insurance transfers - specific information about the insured property
5. Claims History: Optional section detailing any past claims on the policy if relevant to the transfer
6. Premium Adjustment: Required if the transfer results in any premium changes or adjustments
7. Broker/Intermediary Details: Required if an insurance broker or intermediary is involved in the transfer
1. Schedule 1 - Policy Schedule: Detailed schedule of the insurance policy including all coverage details, limits, and exclusions
2. Schedule 2 - Premium Schedule: Details of premium payments, payment schedule, and any outstanding amounts
3. Appendix A - Supporting Documents: List of required supporting documents such as ID proofs, ownership documents, etc.
4. Appendix B - Declaration Forms: Standard declaration forms required by the insurance company for policy transfer
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