Contents of agreement.
1. An agreement executed in this state must be dated and signed by the insured. The printed portion of the agreement must be in not less than 8-point type. The agreement must include:
(a) The name and the address and telephone number of the business of the insurance agent for the insurance contract to which the agreement relates;
(b) The name and the address of the business or residence of the insured;
(c) The name, address and telephone number of the company to which payments must be made;
(d) A brief description of any insurance policy involved; and
(e) Such other information as may be required by the Commissioner.
2. An agreement must have at its top in type which is more prominent than the text of the agreement, the words “Agreement For Financing Premium” or words of similar meaning. An agreement must contain a notice in type which is more prominent than the text of the agreement which reads as follows:
Notice:
1. Do not sign this agreement before you have read it or if it contains any blank spaces.
2. You are entitled to a copy of this agreement which is complete.
Last modified: February 27, 2006