Fillable Claim Packet This form is to be completed (City of Plano)

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Claim Packet This form is to be completed (City of Plano)

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Products and financial services provided by
American United Life Insurance Company
®
a OneAmerica
®
company
One American Square, P.O. Box 7106
Indianapolis, IN 46207-7106
1-800-553-3522
Fax 317-285-7666
lifeclaims.employeebenefits@oneamerica.com
Group Life Insurance
Claim Packet
INSTRUCTIONS – PLEASE READ CAREFULLY AND SUBMIT ALL REQUIRED INFORMATION
This form is to be completed by the Employer.
We offer four options for filing a life claim. The following information may be sent to us via:
1. Fax to 317-285-7666
2. Email to lifeclaims.employeebenefits@oneamerica.com
3. Mail forms to:
Employee Benefits Life Claims Department
American United Life Insurance Company
®
PO Box 7106
Indianapolis, IN 46207-7106
4. Overnight forms to:
Employee Benefits Life Claims Department
American United Life Insurance Company
®
250 W. North Street
Indianapolis, IN 46202
If you have any questions when completing the claim forms, please call a claims representative at 1-800-553-3522.
All questions should be answered fully and accurately to avoid delays in claim processing. Forms should be completed as follows:
Group Life Insurance Claim Form – The Employer should complete this form.
The Authorized Representative of the Employer should:
• Submit all forms requesting or changing group life insurance coverage and all beneficiary designation forms completed for
the group life insurance policy. This includes, but is not limited to, enrollment form, proof of enrollment from an electronic
enrollment system, request to decrease coverage, request to increase coverage, and all Guaranteed Increase in Benefit
(GIB) forms.
• Submit all forms within the timeframe specified in the policy.
• Submit the Employee's most recent W-2 if salary is based on W-2.
• Include a copy of the Certified Death Certificate.
Authorization for the Release of Health Related Information – This form should be completed and signed by the beneficiary
or the next of kin who could have made medical decisions for the deceased.
Trust Affidavit – If the beneficiary is a trust, the Trustee of the Estate should complete and have this form notarized.
OneAmerica prides itself on being there when our customers need us most, and we are pleased to offer a beneficiary guide entitled
Day by Day, which assists families in managing life after loss. The guide and Frequently Asked Questions (FAQs) regarding Employee
Benefits life insurance claims can be found on our website www.oneamerica.com/claims.
G-23774 6/19/17
Indicate reason for date last Physically/Actively at Work:
1. Termination of Employment Date: 8. FMLA Self Family
2. Reduction of Hours Date: FMLA Begin Date:
3. Layoff Permanent Temporary Date: FMLA End Date:
4. Retirement: Date of Retirement 9. Leave of Absence:
5. Disability: Date of Disability Reason for Leave of Absence:
6. Entered Active Military Service: Date Entered Date Leave of Absence Began:
7. Other 10. Illness/Injury: Date of Illness/Injury
Page 1 of 4 G-5490 3/30/17
Products and financial services provided by
American United Life Insurance Company
®
a OneAmerica
®
company
One American Square, P.O. Box 7106
Indianapolis, IN 46207-7106
1-800-553-3522
Fax 317-285-7666
lifeclaims.employeebenefits@oneamerica.com
Section I – Employee Information
Employer Name: Employer Policy Number:
Employee Name: Gender: Male Female
Employee Address:
City State Zip Code
Employee Daytime Phone Number:
Employee Social Security Number: Employee Date of Birth:
Employee Full Time Hire Date: Number of Hours Worked Per Week:
Effective Date of Employee Insurance: Was Evidence of Insurability required? Yes No
Employee Occupation: Employee Class:
Date Employee was last Physically/Actively at Work:
Date Active Pay Status Ceased:
Did employment cease prior to death? Yes No
Was Employee given Application to Port or Convert Group Coverage? Yes No Date given:
How was notice of portability or conversion given?
Date through which premiums are paid for this employee:
Gross Annual Salary Date of Last Employee is: Hourly Executive Management
Salary Change (check all that apply) Salaried / Non-exempt Salary/Exempt
$ ___________________________ _______________ Bargaining Non-bargaining
Gross Annual Salary includes: Commissions Bonuses Overtime Based on W2
Group Life Insurance
Claim Form
Notice of claim for:
Employee Dependent
TO BE COMPLETED BY EMPLOYER
For Union Groups Only:
Date to which all dues and assessments were paid for this employee:
Was member in good standing on coverage effective date? Yes No
Was member in good standing at his (or dependent’s) date of death? Yes No
Employee Date of Death:
Identify all coverage, classes and volume of coverage for the Employee. This information is required for claim processing:
Basic Term Life Class Volume
Basic AD&D Class Volume
Voluntary Term Life Class Volume
Voluntary AD&D Class Volume
Supplemental Life Class Volume
Supplemental AD&D Class Volume
Page 2 of 4 G-5490 3/30/17
Products and financial services provided by
American United Life Insurance Company
®
a OneAmerica
®
company
One American Square, P.O. Box 7106
Indianapolis, IN 46207-7106
1-800-553-3522
Fax 317-285-7666
lifeclaims.employeebenefits@oneamerica.com
Group Life Insurance
Claim Form
Employee Name: Employer Name/Policy Number:
Section II – Dependent Information
Dependent Information - (Please complete the entire claim form if claim is for a Dependent)
Name of Dependent: Relationship to the Employee:
Dependent’s Date of Birth: Dependent’s Social Security Number:
Marital Status of Dependent: Is Dependent a Full-Time Student? Yes No
If Dependent Child is over 19 and a full-time student, please send documentation from the educational institution of full-time student status and
a copy of the employee’s most recent federal tax return.
Effective Date of Dependent Insurance: Was Evidence of Insurability required? Yes No
Date through which premiums are paid for this dependent: Dependent’s Date of Death:
Identify all coverages and volume of coverage:
Basic Dependent Term Life
Spouse Child Class Volume Option #
Basic Dependent AD&D
Spouse Child Class Volume Option #
Voluntary/Supplemental Dependent Life
Spouse Child Class Volume Option #
Voluntary/Supplemental Dependent AD&D
Spouse Child Class Volume Option #
Section III – Beneficiary Information
If additional beneficiaries are named, please attach a separate sheet listing remaining beneficiaries.
1. Beneficiary Name:
Beneficiary Social Security Number:
Beneficiary Date of Birth:
Beneficiary Mailing Address:
Address City State Zip Code
Beneficiary Daytime Phone Number:
Beneficiary Email Address:
2. Beneficiary Name:
Beneficiary Social Security Number:
Beneficiary Date of Birth:
Beneficiary Mailing Address:
Address City State Zip Code
Beneficiary Daytime Phone Number:
Beneficiary Email Address:
3. Beneficiary Name:
Beneficiary Social Security Number:
Beneficiary Date of Birth:
Beneficiary Mailing Address:
Address City State Zip Code
Beneficiary Daytime Phone Number:
Beneficiary Email Address:
Products and financial services provided by
American United Life Insurance Company
®
a OneAmerica
®
company
One American Square, P.O. Box 7106
Indianapolis, IN 46207-7106
1-800-553-3522
Fax 317-285-7666
lifeclaims.employeebenefits@oneamerica.com
The undersigned represents any information or documents provided to American United Life Insurance Company
®
(AUL) by the undersigned prior
to and after the date of the application for insurance and the facts and other matters contained in the foregoing are true and accurate to the
best of the undersigned’s knowledge and belief. The undersigned understands and agrees that: 1) any insurance coverage or benefits are
contingent upon any statements made to AUL as being complete and correct, and 2) benefits under any policy will be paid only if AUL
determines the applicant is entitled to them. The undersigned has read, understands, and has retained the notices, limitations, and exclusions
for his/her records and the Discretionary Authority & Fraud Warnings on the following pages.
Employer: Policyholder Number:
Address:
Address City State Zip Code
Phone Number: Fax Number:
Email Address: Is this plan governed by ERISA? Yes No
Date:
Printed Name & Title of Authorized Representative of Employer Signature of Authorized Representative
Page 3 of 4 G-5490 3/30/17
Group Life Insurance
Claim Form
Section III – Beneficiary Information (Continued)
Employee Name: Employer Name/Policy Number:
5. Contact Information for Employee claim
No beneficiary designation on file.
If no beneficiary has been designated on an AUL form or a Prior Carrier form for the same coverage, please indicate the name and contact
information for the person who supplied the copy of the Death Certificate below and check the no beneficiary designation on file box. AUL will
contact this person with instructions concerning what additional information is required to determine the proper payee.
Contact Name:
Address:
Address City State Zip Code
Daytime Phone Number: Relationship to Deceased:
Email Address:
If no beneficiary has been named and an Estate has been or will be established, please provide Estate information in number 4, above.
4. Trust/Estate Beneficiary (Complete this section if an Estate or Trust is the named beneficiary.)
Please attach the Trust/Estate Document and IRS Form SS-4 for verification of Tax ID Number. If the beneficiary is a trust, please complete the
enclosed Trust Affidavit.
Trust or Estate Name:
Trust or Estate Tax ID Number:
Trustee or Estate Personal Representative:
Trustee or Estate Personal Representative Mailing Address:
Address City State Zip Code
Trustee or Estate Personal Representative Daytime Phone Number:
Trustee or Estate Personal Representative Email Address:
Section IV – Employer Information
Page 4 of 4 G-5490 3/30/17
Fraud Warnings
(For use in AL, AR, DC, LA, NM, TX and WV)
Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an
application for insurance may be guilty of a crime and may be subject to fines and confinement in prison.
Alaska
A person who knowingly and with intent to injure, defraud, or deceive an insurance company files a claim containing false, incomplete, or
misleading information may be prosecuted under state law.
Arizona
For your protection, Arizona law requires the following statement to appear on this form. Any person who knowingly
presents a false or fraudulent claim for payment of a loss is subject to criminal and civil penalties.
California
For your protection California law requires the following to appear on this form. Any person who knowingly presents false or fraudulent claim for
the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison.
Colorado
It is unlawful to knowingly provide false, incomplete or misleading facts or information to an insurance company for the purpose of defrauding or
attempting to defraud the company. Penalties may include imprisonment or fines, denial of insurance and civil damages. Any insurance company or
agent of an insurance company who knowingly provides false, incomplete or misleading facts or information to a policyholder or claimant for the
purpose of defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds
shall be reported to the Colorado Division of Insurance within the department of regulatory agencies.
Delaware, Idaho, Indiana, Oklahoma
Any person who knowingly, and with intent to injure, defraud or deceive any insurer, makes any statement of claim for the proceeds of an insurance
policy containing any false, incomplete or misleading information is guilty of a felony.
Florida
Any person who knowingly and with intent to injure, defraud or deceive any insurer files a statement of claim or an application containing any
false, incomplete, or misleading information is guilty of a felony of the third degree.
Kentucky
Any person who knowingly and with intent to defraud any insurance company or other person files a statement of a claim or an application for
insurance containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto
commits a fraudulent insurance act, which is a crime.
Maine, Tennessee, Washington
It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company.
Penalties may include imprisonment, fines or a denial of insurance benefits.
Maryland, Rhode Island
Any person who knowingly or willfully presents a false or fraudulent claim for payment of a loss or benefit or who knowingly or willfully presents
false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.
Minnesota
A person who files a claim with intent to defraud or helps commit a fraud against an insurer is guilty of a crime.
New Hampshire, Ohio
Any person who, with a purpose to injure, defraud or deceive any insurance company, files a statement of claim containing any false, incomplete or
misleading information is subject to prosecution and punishment for insurance fraud.
New Jersey
Any person who knowingly files a statement of claim containing any false or misleading information is subject to criminal and civil penalties.
Oregon
Any person who makes an intentional misstatement that is material to the risk may be found guilty of insurance fraud by a court of law.
Pennsylvania
Any person who knowingly and with intent to defraud any insurance company or any other person, files an application for insurance or statement of
claim containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto
commits a fraudulent insurance act, which is a crime and subjects such a person to criminal and civil penalties.
Virginia
It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company.
Penalties include imprisonment, fines or a denial of insurance benefits.
Products and financial services provided by
American United Life Insurance Company
®
a OneAmerica
®
company
One American Square, P.O. Box 7106
Indianapolis, IN 46207-7106
1-800-553-3522
Discretionary Authority
G-25673 (LIFE) 9/9/16
The following discretionary authority rights shall apply to all Life Insurance policies except the states below:
DISCRETIONARY AUTHORITY: Benefits under the policy will be paid only if American United Life Insurance
Company
®
(AUL) decides in its discretion the claimant is entitled to them. Except for the functions the policy
explicitly reserves to the Participating Unit or Trustee, AUL reserves the right to: 1) manage the policy and
administer claims under it; and 2) interpret the provisions and resolve any questions arising under it.
AUL’s authority includes, but is not limited to, the right to:
1) establish and enforce procedures for administering the policy and claims under it;
2) determine participants’ eligibility for coverage and entitlement to benefits;
3) determine what information it reasonably requires to make such decisions; and
4) resolve all matters when a claim review is requested.
Any decision that AUL makes, in the exercise of its authority, will be conclusive and final subject to any rights
under applicable laws such as the Employee Retirement Income Security Act (ERISA). This provision applies only
where the interpretation of the policy is governed by ERISA.
Such discretionary authority shall not apply in the following states:
1. Arkansas
2. Alaska
3. California
4. Hawaii
5. Kentucky
6. Illinois
7. Maine
8. Montana
9. New Jersey
10. New York
11. Oregon
12. Rhode Island
13. Vermont
14. Washington
15. Non-ERISA governed policies in New Hampshire and Utah
10-15857 (EBLIFE) 6/23/16
Products and financial services provided by
American United Life Insurance Company
®
a OneAmerica
®
company
One American Square, P.O. Box 7106
Indianapolis, IN 46207-7106
1-800-553-3522, Fax 317-285-7666
lifeclaims.employeebenefits@oneamerica.com
Authorization for the Release
of Health Related Information
(HIPAA Compliant Form)
I authorize any employer; health plan; physician; health care professional; hospital; clinic; laboratory; pharmacy;
pharmacy benefit manager; medical facility; other health care provider; insurance company; insurance support
organization; the MIB, Inc. (formerly known as Medical Information Bureau); or other organization or person that has
provided payment, treatment or services to the deceased or on his/her behalf within the past 10 years or has any
records or knowledge of the deceased’s health within the past 10 years (the “Providers”) to disclose the deceased’s
entire medical record, prescription history, supplies provided with any other protected health information concerning
the deceased to any company listed as a OneAmerica
®
company (“the Company”), its reinsurers or any agent,
attorney, insurance support organization or other authorized representative acting on their behalf. This includes
information on the diagnosis or treatment of human immunodeficiency virus (HIV) infection and sexually transmitted
diseases. This also includes information on the diagnosis and treatment of mental illness and psychiatric history, as
well as the use of alcohol, drugs and tobacco, but excludes psychotherapy notes. I authorize any company listed as a
OneAmerica
®
company and its reinsurers to make a brief report of the deceased’s personal health information to MIB.
By my signature below, I acknowledge that any agreements the deceased made to restrict his/her protected health
information do not apply to this authorization and I instruct his/her Providers to release and disclose his/her entire
medical record without restriction.
This protected health information will be used in evaluating and administering my claim for benefit. The authorization
will be valid for the duration of the claim or one year after the date it is signed. A photocopy of this authorization will
be as valid as the original.
I understand that I have the right to revoke this authorization in writing, at any time, by providing written notification
to the Privacy Manager, OneAmerica Financial Partners, Inc., One American Square, P.O. Box 368, Indianapolis,
Indiana 46206. (Do not send this form, medical records, etc. to the Privacy Manager.) I understand that a revocation
is not effective to the extent that any of the deceased’s Providers have already relied on this authorization to disclose
information about the deceased or to the extent that the Company has a legal right to contest a claim under an
insurance policy. I understand that any information that is disclosed pursuant to this authorization is no longer
covered by federal rules governing privacy and confidentiality of health information, but that it will not be redisclosed
by the Company except as authorized by me or as required by law.
Beneficiary Signature Date
Employee Name: Deceased Name:
Your Relationship to Deceased: Deceased Date of Birth:
Group Policyholder Number: Claim Number:
Page 1 of 2 G-28357 6/13/17
Please print all information with the exception of signatures.
Group Policyholder Number Deceased's Name
Trust Tax ID
Please attach the Trust document and IRS Form SS-4 for verification for Tax ID number.
I, _____________________________________________ , affirm that the __________________________________________
Name of Trustee Name of Trust
Agreement executed by on is in full force and effect
Name of Trustee(s) who created Trust Date of Trust
and has not been amended, modified, or revoked, and the current Trustee(s) is/are:
Name(s) of Trustee(s)
I understand that American United Life Insurance Company
®
will rely on the statements that I have made in this
affidavit.
Current Trustee Printed Current Trustee Printed
Date: By:
Trustee Signature
County of: Subscribed and sworn before me
State of: this __________ day of ____________________ , ________
at _________________________________________________
Location
Notary Name Notary Signature
Products and financial services provided by
American United Life Insurance Company
®
a OneAmerica
®
company
One American Square, P.O. Box 7106
Indianapolis, IN 46207-7106
1-800-553-3522
Fax 317-285-7666
lifeclaims.employeebenefits@oneamerica.com
Trust Affidavit
Page 2 of 2 G-28357 6/13/17
Fraud Warnings
(For use in AL, AR, DC, LA, NM, TX and WV)
Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false
information in an application for insurance may be guilty of a crime and may be subject to fines and confinement in prison.
Alaska
A person who knowingly and with intent to injure, defraud, or deceive an insurance company files a claim containing false,
incomplete, or misleading information may be prosecuted under state law.
Arizona
For your protection, Arizona law requires the following statement to appear on this form. Any person who
knowingly presents a false or fraudulent claim for payment of a loss is subject to criminal and civil penalties.
California
For your protection California law requires the following to appear on this form. Any person who knowingly presents false or
fraudulent claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison.
Colorado
It is unlawful to knowingly provide false, incomplete or misleading facts or information to an insurance company for the purpose of
defrauding or attempting to defraud the company. Penalties may include imprisonment or fines, denial of insurance and civil damages.
Any insurance company or agent of an insurance company who knowingly provides false, incomplete or misleading facts or
information to a policyholder or claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant with
regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado Division of Insurance within the
department of regulatory agencies.
Delaware, Idaho, Indiana, Oklahoma
Any person who knowingly, and with intent to injure, defraud or deceive any insurer, makes any statement of claim for the proceeds of
an insurance policy containing any false, incomplete or misleading information is guilty of a felony.
Florida
Any person who knowingly and with intent to injure, defraud or deceive any insurer files a statement of claim or an application
containing any false, incomplete or misleading information is guilty of a felony of the third degree.
Kentucky
Any person who knowingly and with intent to defraud any insurance company or other person files a statement of a claim or an
application for insurance containing any materially false information or conceals, for the purpose of misleading, information
concerning any fact material thereto commits a fraudulent insurance act, which is a crime.
Maine, Tennessee, Washington
It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding
the company. Penalties may include imprisonment, fines or a denial of insurance benefits.
Maryland, Rhode Island
Any person who knowingly or willfully presents a false or fraudulent claim for payment of a loss or benefit or who knowingly or willfully
presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.
Minnesota
A person who files a claim with intent to defraud or helps commit a fraud against an insurer is guilty of a crime.
New Hampshire, Ohio
Any person who, with a purpose to injure, defraud or deceive any insurance company, files a statement of claim containing any false,
incomplete or misleading information is subject to prosecution and punishment for insurance fraud.
New Jersey
Any person who knowingly files a statement of claim containing any false or misleading information is subject to criminal and civil penalties.
Oregon
Any person who makes an intentional misstatement that is material to the risk may be found guilty of insurance fraud by a court of law.
Pennsylvania
Any person who knowingly and with intent to defraud any insurance company or any other person, files an application for insurance
or statement of claim containing any materially false information, or conceals for the purpose of misleading information concerning
any fact material thereto commits a fraudulent insurance act, which is a crime and subjects such a person to criminal and civil penalties.
Virginia
It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding
the company. Penalties include imprisonment, fines or a denial of insurance benefits.
G-24591 (CA) 2/23/16
In the state of California, the following are hereby defined as unfair methods of competition and unfair and deceptive acts
or practices in the business of insurance:
California Insurance Code 790.03
(h) Knowingly committing or performing with such frequency as to indicate a general business practice any of the
following unfair claims settlement practices:
(1) Misrepresenting to claimants pertinent facts or insurance policy provisions relating to any coverages at issue.
(2) Failing to acknowledge and act reasonably promptly upon communications with respect to claims arising under
insurance policies.
(3) Failing to adopt and implement reasonable standards for the prompt investigation and processing of claims arising
under insurance policies.
(4) Failing to affirm or deny coverage of claims within a reasonable time after proof of loss requirements have been
completed and submitted by the insured.
(5) Not attempting in good faith to effectuate prompt, fair, and equitable settlements of claims in which liability has
become reasonably clear.
(6) Compelling insureds to institute litigation to recover amounts due under an insurance policy by offering
substantially less than the amounts ultimately recovered in actions brought by the insureds, when the insureds have
made claims for amounts reasonably similar to the amounts ultimately recovered.
(7) Attempting to settle a claim by an insured for less than the amount to which a reasonable person would have
believed he or she was entitled by reference to written or printed advertising material accompanying or made part of
an application.
(8) Attempting to settle claims on the basis of an application that was altered without notice to, or knowledge or
consent of, the insured, his or her representative, agent, or broker.
(9) Failing, after payment of a claim, to inform insureds or beneficiaries, upon request by them, of the coverage under
which payment has been made.
(10) Making known to insureds or claimants a practice of the insurer of appealing from arbitration awards in favor of
insureds or claimants for the purpose of compelling them to accept settlements or compromises less than the
amount awarded in arbitration.
(11) Delaying the investigation or payment of claims by requiring an insured, claimant, or the physician of either, to
submit a preliminary claim report, and then requiring the subsequent submission of formal proof of loss forms, both
of which submissions contain substantially the same information.
(12) Failing to settle claims promptly, where liability has become apparent, under one portion of the insurance policy
coverage in order to influence settlements under other portions of the insurance policy coverage.
(13) Failing to provide promptly a reasonable explanation of the basis relied on in the insurance policy, in relation to the
facts or applicable law, for the denial of a claim or for the offer of a compromise settlement.
(14) Directly advising a claimant not to obtain the services of an attorney.
(15) Misleading a claimant as to the applicable statute of limitations.
(16) Delaying the payment or provision of hospital, medical, or surgical benefits for services provided with respect to
acquired immune deficiency syndrome or AIDS-related complex for more than 60 days after the insurer has received
a claim for those benefits, where the delay in claim payment is for the purpose of investigating whether the
condition preexisted the coverage. However, this 60-day period shall not include any time during which the insurer is
awaiting a response for relevant medical information from a health care provider.
(i) Canceling or refusing to renew a policy in violation of Section 676.10.
(j) Holding oneself out as representing, constituting or otherwise providing services on behalf of the California Health
Benefit Exchange established pursuant to Section 100500 of the Government Code without a valid agreement with
the California Health Benefit Exchange to engage in those activities.
In addition to Section 790.03 of the Insurance Code, Fair Claims Settlement Practices Regulations govern how insurance
claims must be processed in this state. These regulations are available at the Department of Insurance Internet Web site,
www.insurance.ca.gov or by calling the department's consumer information line at 1-800-927-HELP (4357). You may also
obtain a copy of this law and these regulations free of charge from this insurer.
Products and financial services provided by
American United Life Insurance Company
®
a OneAmerica
®
company
One American Square, P.O. Box 7106
Indianapolis, IN 46207-7106
1-800-553-3522
Fax 317-285-7666
www.employeebenefits.aul.com
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Completed 4 August 2020

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