New Jersey Life & Health Insurance Guaranty Association
Proxy Ballot for Election of Board Members at the 2020 Annual Meeting of Members.

Please email us at Operations@njlifega.org if you encounter problems completing this form.
Email address *
Company's NAIC # *
Provided Security Code *
In accordance with the Plan of Operations, the Nominating Committee of the Board of Directors has selected the slate of nominees below for a term of three years to succeed Board members whose terms expire at the end of this year. You are requested to designate three candidates. *
Please select three.
Required
Enter your write-in candidate(s) here
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