GoldenRule"
^
December 19, 2001
Matthew L Beckett
3806BrookfieldDr
Arlington TX 76001-5282
Identification No.: 054514928
Insured: Matthew Beckett
Claimant: Matthew Beckett
Dear Mr. Beckett:
On December 17, 2001, we notified you that your certificate has been voided due to
material misstatements in your application. As we explained in that letter, the enclosed
check represents a refund of all premiums paid on your certificate.
If any further premiums are still in the collection system, they will be promptly
refunded to you as soon as they are received and identified.
Please note that there is a release on the back of your premium check. By cashing the
enclosed check, you are accepting Golden Rule's decision to void your certificate.
Golden Rule will have no further liability for your expenses.
Failure to cash your premium refund check will be deemed a rejection of our
decision to void your coverage. Golden Rule may then file a declaratory judgment
action in a court of competent jurisdiction to determine our rights under the
policy/certificate.
Sincerely,
Claims Review Analyst
Enclosure
Golden Rule Insurance Comp<
Home Office
712 Eleventh Street
Lawrenceville, Illinois 62439
¥Q (618)943-8000
www.goldenrule.com
Golden Rule Insurance Company
Golden Rule Building
7440 Woodland Drive
Indianapolis, Indiana 46278-1719
S-017) 297-4123
www.eoldenrule.com