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Sample Acknowledgement Letter

Letter must appear on the Organizations official stationery and be signed by an authorized official
of the organization (e.g., president/CEO/chairman) and acno!ledged in !riting by an authorized
officer of "ohn #ancoc Life $nsurance Company ("ohn #ancoc).
Sponsored Group Discount Program*
RLTC Marketing Department, B-6
Jon !ancock Li"e #nsurance Compan$
Bo% &&&
Boston, M' ()&&*
Dear Program Manager,
Tis +etter is to con"irm tat [Organization/Employee Group] as decided to participate in Jon
!ancock,s Sponsored Group Discount Program "or +ong-term care insurance, and tat -e -i++ announce to
our e+igi.+e popu+ation te a/ai+a.i+it$ o" Jon !ancock,s +ong-term care insurance0
1e agree tat2 3&4 [Name of Organization] ma$ terminate our participation in te Sponsored Group
Program at an$ time .$ pro/iding -ritten notice o" termination to Jon !ancock5 3)4 Jon !ancock ma$
terminate or modi"$ te Sponsored Group Program, or ma$ terminate [Name of Organization],s
participation in it, .$ pro/iding -ritten notice o" termination or modi"ication to terminate [Name of
Organization]; and 364 te Sponsored Group Program or [Name of Organization],s participation in it -i++
automatica++$ terminate i" re7uired .$ an$ go/ernment autorit$ or court o" +a- to do so0 Sou+d an$ o"
tese circumstances occur, -e agree tat tose po+icies a+read$ in "orce, as o" te termination date, -ou+d
retain te discount i" permitted .$ +a- to do so0
1e agree tat [Name of Organization] assumes no +ia.i+it$ in connection -it te Sponsored Group
Program or an$ Jon !ancock +ong-term care insurance po+icies0 #n addition, Jon !ancock as agreed to
indemni"$ [Name of Organization] "or an$ +ia.i+it$ tat arises out o" Jon !ancock,s acts or omissions
in connection -it te Sponsored Group Program or an$ Jon !ancock +ong-term care insurance po+icies0
#" $ou agree -it te contents o" tis +etter, kind+$ sign .e+o- and return one dup+icate origina+ to m$
attention0 Tanks0
Sincere+$,
8s8 'utori9ed o""icia+ o" organi9ation
'ckno-+edged .$ and agreed to .$2
J:!; !';C:C< L#=> #;S?R';C> C:MP';@
B$2AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
Tit+e2 AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
Date2 AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA
*3Marketing Discount in ;@ B TC4
LTC 3191 10/05

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