aj mttp iteflMMw (Mam
mas
WILL PAY DIRECT TO YOU INCOME TAX-FREE
BOTHER
NO
While In The Hospital From Sickness or Accident
(IT PAYS IN ADDITION TO WORKMAN'S COMPENSATION OR ANY OTHER INSURANCE)
IS J
Thin I'olicf Also
f'rorfc Pajmvnt
of
5,000
00
AUTO TltAFITV
AfflMiXT
IH: M il BMSXEFMT
il
tits iwrogjga ggjt imgyp Tn WD
THIS policy rovers
tACH and KVhRY lNSUKtiD
member of wur family. If
several arc sick or hurt ai the
same lime EACH ONK sen
paid $I(M) a week while in
hospital.
HAH TBI APWCATIOK
M U1JCUUI WILL CALL
National now offers you a sickness and accident policy
plus accidental automobile death benefits of $5,000.00 1
Not only that, you receive up to $5,200.00 PAID
DIRECT TO YOU, while in the hospital from sickness
or accidents, originating after the date of the policy.
Our Family Group or Individual Hospital policy gives
you insurance protection, liberal cash benefits, and other
privileges. This policy does not cover hospitalization for
nervous or mental disorders, rest cures or alcoholism,
dental work, childbirth or complications of pregnancy,
or confinement in government hospitals.
SI 00 A WEEK SICKNESS BENEFITS
while in the hmpiul beginning after the third day of confinement for sickness. The
$100.00 a week is sent to you every week for as long as 52 weeks ($5,200) and is yours
to use as you see tit!
SI 00 A WEEK ACCIDENT BENEFITS
while in the hospital from the first dav, due to accidental injuries. This $100 is sent to
you every week as long as 52 weeks ($5,200) and is yours to use as you wish.
S5000 AUTO ACCIDENTAL DEATH BENEFITS
will be paid for loss of life resulting from traffic ACCIDENTS sustained while driving
or riding in any automobile, bus or truck should death occur within 60 days of the
ait idem. This is in ADDITION TO any hospital benefits navahle.
( HII.DKKN RKCtlVE FULL $5,000 UNDFR THIS BFNFFIT
$5000 POLIO EXPENSE BENEFITS
FOR ANY FAMILY Ml MIHR INSDRKD WHEN STRICKEN BY POLIO.
REGULAR LOW MONTHLY RATES I Month's Premium
One Person Only (Man or Woman) (Under 65 years of age) $2.50
One Person Only (Man or Woman) (65 to 75 years of age) 3.50
Man and Wife (under 65 years of age) 5.00
Man and Wife and I Child (child under 18 years of age) 6.50
Either Parent and I Child (ihild under 18 vears of age) 4.00
Either Parent and 2 Children (children under 18 years of age) Wl
For rath Additional Child Under 18 years of age ADD l.M
Children (under 18 years) nay reduced rates and receive one-half Hospital Benefits plus
FULL Accidental Death and Polio Benefits. Applications Accepted up to Age 75.
MAIL THIS COUPON TODAY
APPLICATION BLANK FHAA j
FOR ISDIVIDUALS OR FAMILY GROUPS
To: National Prudential Life Insurance Company ,
1116 N.W. 51st Street, Oklahoma City, Oklahoma
Gentlemen 1 am encloaina; $1.00 in payment for on month'! Imurance for National J
Prudential Lift Insurance Company's HOSPITAL POLICY. j
(Please ptint full names of all mcmben whom you wish included in this policy)
FIRST NAMES MIDDLE NAMES LAST NAMES DATE OF BIRTH j
MO. I DAY I YEAR I AGE
I. (APPLICANT!
. COUNTY STATE .
ADDRESS
CITY
OCCUPATION
NAME OF BENEFICIARY
RELATION TO APPLICANT
Have you ot any members listed received any medical or surgical attention within the j
past 5 years.' j
(Give full particulars, dates, etc.)
Are you and all members listed above in whole and sound health to the best of your 9
knowledge and belief? .... . (If not. pirate explain.)
STATE YES OR NO
Name of Family Doctor ......
Doctor's Address ..............
Write your name here ,
Data
............... .... Signature of Applicant
FW-30 IMPORTANT Please Answer Every Question
Make all checks or money orders payable to:
National PrtidmlUl Life lusmrsnc Company