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Product Form Numbers

Product base plans, provisions, features and riders may not be available in all states and may vary by state

Whole Life

Product Form #'s State Applicability
GIWL

Policy Forms: ICC21-20532 Rev0621, 20532, 20532-5 and 20532-10 Rev0621.

Rider Numbers: ICC23-23200, ICC15-15200, 15200, 15200-35, 13600-5, 15200-10, ICC23-23201, ICC15-15201, 15201, 15201-5, 15201-10 and 15201-35.

All States
American Elite Whole Life 2
(Conversion product only)

Policy Forms: ICC17-17917, 17917, ICC17-17917N, 17917N.

Rider Numbers: ICC23-23601, 13601, ICC23-23601N-B, 13601N-B, 1CC14-14001,14001, ICC17-14001N-B, 14001N-B, ICC22-22995, 22995, ICC23-23995N-B, 23995N-B, ICC14-14012, 14012.

All States, except NY
Single Premium Whole Life
(Conversion product only)

Policy Forms: ICC17-17918,17918, ICC17-17918, 17918.

Policy Forms: ICC17-17918N, 17918N Rev032.

All States, except NY

NY only
American Elite 2
(Conversion product only)

Policy Forms: 17917N-33 Rev0121.

Rider Numbers: 13601N, 14001N, 23995N-B.

NY only

NY only

Term

Product Form #'s State Applicability
SAT

Policy Forms: ICC21-19311 Rev0321, 19311, ICC21-19310 Rev0321, 19310, 19310N-33 Rev0321.

Policy Forms: 19311N-33 Rev0321.

Rider Numbers: ICC14-14012, 14012, ICC23-23601, 13601, 13601N, ICC14-14001, 14001, ICC22-22995, 22995.

Rider Numbers: 14012N, 14001N, 22995N.

All States, except NY

NY only

All States, except NY

NY only

Fixed UL

Product Form #'s State Applicability
Secure Lifetime GUL 3

Policy Forms: ICC15-15442, 15442.

Policy Forms: 15442N Rev0518.

Rider Numbers: ICC23-23600, 15600, 13600-5, ICC18-18012, 18012, ICC22-22995, 22995, 15972, 15972N, ICC14-14002, 14002, ICC23-23601, 13601, ICC15-15990, 15990.

Rider Numbers: 17600N, 18012N, 22995N, 14002N, 13601N, 15990N.

All States, except NY

NY only

All States, except NY

NY only

IUL

Product Form #'s State Applicability
Max Accumulator+ II

Policy Forms: 19646N Rev0120.

Rider Numbers: 17600N, 18012N, 22995N, 13601N, 07620N, 14002N, 15996N, 18004N.

NY only
Max Accumulator+ III

Policy Forms: ICC22-22191, 22191,23191-5.

Rider Numbers: ICC23-23600, 15600, 13600-5, ICC18-18012, 18012, ICC22-22995, 22995, 14306, ICC23-23601, 13601, 07620, ICC14-14002, 14002, 15996, 15997, ICC15-15994, 15994, ICCC18-18004, 18004.

All States
Value+ Protector III

Policy Forms: ICC16-16760, 16760.

Policy Forms: 16760N Rev0618.

Rider Numbers: 17600N, 18012N, 22995N, 13601N, 07620N, 14002N, 15992N, 18004N, 15990N.

Rider Numbers: ICC23-23600, 15600, 13600-5, ICC18-18012, 18012, ICC22-22995, 22995, ICC23-23601, 13601, 07620, ICC14-14002, 14002, ICC15-15992, 15992, 15997, ICC18-18004, 18004, ICC15-15990, 15990.

All States, except NY and VT

NY only

NY only

All States, except NY and VT
Protection Extend IUL
(Conversion product only)

Policy Forms: 19471, ICC19-19471.

Policy Forms: 19471N.

Rider Numbers: 16110N, 15990N, 18012N, 22995N, 13601N, 14002N.

Rider Numbers: 16110, ICC16-16110, 15990, ICC15-15990, 15997, 18012, ICC18-18012, ICC22-22995, 22995, ICC23-23601, 13601, 14002, ICC14-14002.

All States, except NY and VT

NY only

NY only

All States, except NY and VT

QoL Term

Product Form #'s State Applicability
QoL FlexTerm

Policy Forms: ICC21-19311 Rev0321, 19311, ICC21-19310 Rev0321, and 19310.

Rider Numbers: ICC14-14012, 14012, ICC14-14001, 14001, ICC23-23602, 15602, ICC23-23603,15603, ICC23-23604, 15604, AGLA 04CHIR-CA (0514), AGLA 04CRIR, AGLA 04TIR, ICC22-22995, 22995.

All States

QoL Fixed UL

Product Form #'s State Applicability
QoL Guaranteed Plus GUL II

Policy Forms: ICC15-15442 and 15442.

Rider Numbers: ICC23-23600, 15600, ICC18-18012, 18012, ICC22-22995, 22995,15972, WMDR, ICC14-14002, 14002, ICC23-23602, 15602, ICC23-23603,15603, ICC23-23604, AGLA 04CHIR, AGLA-04CRIR, AGLA 04TIR, 15604, ICC15-15990, and 15990.

All States

QoL IUL

Product Form #'s State Applicability
QoL Max Accumulator+ III

Policy Forms: ICC22-22191 and 22191.

Rider Numbers: ICC23-23600, 15600, 13600-5, ICC18-18012, 18012, ICC22-22995, 22995, 14306, 07620, ICC14-14002, 14002, 15996, 15997, ICC15-15994, 15994, ICC18-18004, 18004, ICC23-23602, 15602, ICC23-23603,15603, ICC23-23604, 15604, AGLA 04CHIR-CA (0514), AGLA 04CRIR, AGLA 04TIR.

All States, except NY and VT
QoL Value+ Protector III

Policy Forms: ICC16-16760 and 16760.

Rider Numbers: ICC23-23600, 15600, 13600-5, ICC18-18012, 18012, ICC22-22995, 22995, 07620, ICC14-14002, 14002, ICC15-15992, 15992, 15997, ICC18-18004, 18004, ICC15-15990, 15990, ICC23-23602, 15602, ICC23-23603,15603, ICC23-23604, 15604, AGLA 04CHIR-CA (0514), AGLA 04CRIR, AGLA 04TIR.

All States, except NY and VT

Prudential

Product Form #'s State Applicability
Term Essential®

Policy Forms: PLTIC-2019 or ICC19 PLTIC-2019.

Rider Numbers: TB 113-2000.

Rider Numbers: TB 100-2000, TB 182-2000, TB 184-2000.

All States

All States, except MA

All States
PruLife® Founders Plus Indexed UL

Policy Forms: ICC22-IULPR and IULPR-2022.

Rider Numbers: VL 110 B-200 or VL 100 B-2000.

Rider Numbers: ICC17 PLI 496-2017 or PLI 496-2017.

Rider Numbers: ICC18 VL 100 B-2018 or VL 100 B-2018, ICC16 VL 182 B-2016 or VL 182 B-2016, ICC17 PLI 552-2017 or PLI 552-2017.

All States

All States, except MA

All States, except NY

All States

Transamerica

Product Form #'s State Applicability
Transamerica Trendsetter Super

Policy Forms: ICC16 TL24 / TL24 / TL24xx.

Rider Numbers: ICC16 DWP03/ DWP03 /DWP03xx.

Rider Numbers: TI08 CA-0119.

Rider Numbers: ICC16 ADR12/ADR12/ADR12xx, ICC16 CR15/ CR15/ CR15xx, ICC11 IPO02 / IPO2 / IP02xx, ICC16 TI08 / TI08 / TI08xx.

All States, except NY, PR or VI

All States, except GU

CA only

All States
Transamerica Trendsetter Living Benefits

Policy Forms: ICC16 TL23 / TL23 / TL23xx.

Rider Numbers: CRN03 CA-0119, CRT06 CA-0119, TI08 CA-0119.

Rider Numbers: CRN03 FL REV, CRT06 FL REV.

Rider Numbers: ICC16 ADR12/ADR12/ADR12xx, ICC16 CR15/ CR15/ CR15xx, ICC16 DWP03/ DWP03 /DWP03xx, ICC11 IPO02 / IPO2 / IP02xx, MDI08xx, ICC16 TI08 / TI08 / TI08xx.

All States, except NY, CT, GU, PR & VI

CA only

FL only

All States
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©2025 Corebridge Direct Insurance Services, Inc. Agency services provided by Corebridge Direct Insurance Services, Inc. (“Corebridge Direct”), CA license # 0B57619 and AR license # 0100105378, a subsidiary of American General Life Insurance Company (“AGL”), Houston, TX and an affiliate of The United States Life Insurance Company in the City of New York (“US Life”). All companies above are wholly-owned subsidiaries of Corebridge Financial, Inc. AGL does not solicit, issue, or deliver policies or contracts in the State of New York. Corebridge Direct offers policies on behalf of affiliated and unaffiliated insurance companies. Guarantees are backed by the claims-paying ability of the issuing insurance company. Products may not be available in all states and product features may vary by state. All prices quoted are non-binding, and the ultimate premium amount for any policy is determined by the underwriting insurance company following application. For all companies mentioned, their financial professionals and other representatives are not authorized to give legal, tax, or accounting advice. For advice concerning your individual circumstances, consult the appropriate professional.
ACR3446520

ACR4215106