New Jersey Life & Health Insurance Guaranty Association
Proxy Ballot for Election of Board Members at the 2025 Annual Meeting of Members.                                                
                                                                                                                                                                                         
Please email us at Operations@njlifega.org if you encounter problems completing this form.
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Email *
Your Company's NAIC # *
Provided Security Code *
In accordance with the Plan of Operations, the Nomination Committee of the Board of Directors has selected the slate of four 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 four candidates.   *
Please select four.
Required
Enter your write-in candidate(s) here:
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