# Fiscal and Regulatory

| Field | Value |
|---|---|
| Policy Number: | WE1500320 |
| Tax Payable by Insurer(s): | None. |
| Country of Origin: | United States of America. |
| Overseas Broker: | None – Independently Procured by the Insured. |
| US Classification: | Self Procured. |
| NAIC Codes: | Not applicable. |
| Allocation of Premium to Coding: | Not applicable. |
| Allocation of Premium to Years of Account: | Not applicable. |
| Regulatory Client Classification: | Large Risk. |

## Market Submission - Fiscal and Regulatory
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