1. The name and address of the undertaking issuing the policy or contract of assurance (hereinafter called "the section 53B policy") and the title or position, address, telephone number and email address (if any) of the person(s) at that undertaking to whom any questions or complaints should be addressed.
2. The policy number of the section 53B policy or contract of assurance together with the registered number of the specimen policy the form of which has been certified by the Board and which the section 53B policy is consistent with.
3. The amount of the benefit payable to or in respect of the person the liability for which has been discharged under the section 53B policy.
4. The percentage (hereinafter called "the Reference Percentage") of the payments under the section 53B policy referenced to one or more securities of the type referred to in section 53B(3) (a) or section 53B(3) (b) of the Act (each hereinafter referred to as a Reference Security), the title(s) of suc
…