Revised PruLife Founders Plus Supplement (PA) – Effective 06/28/21
Effective Monday, June 28, 2021, the PruLife Founders Plus Supplement (ORD 96200-2020 PFP PA) will be
introduced for use in Pennsylvania. The form will include the new Goldman Sachs Voyager Indexed Account. A
new PruLife Founders Plus Disclosure (ORD 115809-2020 PFP) will be introduced for use with the revised
product. This revision was first implemented in other states in April 2021.
Revised PruLife Founders Plus Supplement
The PruLife Founders Plus Supplement (ORD 96200-2020 PFP PA) has been revised as follows and will be
used with the December 2020 Pru Founders Plus product with issue basis 307 and 306.
- Rename the “Plus 100 Account” to “S&P 500® Indexed Account”.
- Add the “Goldman Sachs Voyager Indexed Account”.
- Add transfer options in the “Designated Transfers (Optional)” section.
- The form will carry a revision date of 2020.
When submitting the long application, the Supplement must be completed when applying for the December
2020 PruLife Founders Plus product with issue basis 307 and 306.
When submitting the Worksheet, please complete section l, subsection 1B, and the Supplement will be included
in the policy at issue.
New PruLife Founders Plus Disclosure
The new PruLife Founders Plus Disclosure will carry form number ORD 115809-2020 PFP. This form must be
completed when submitting the long application or the worksheet.
The revised form(s) will be available on the PruXpress website.