| (vi) A signature card from a financial |
| institution or credit union authorizing the |
| employee to sign checks on a business |
| checking or share draft account that is at |
| least 6 months old; a notarized affidavit |
| from the employer describing the duties of |
| the employee and the average number of hours |
| worked by the employee and attesting that the |
| employer is not defrauding the carrier and is |
| aware of the consequences of committing fraud |
| or making a material misrepresentation to the |
| carrier, including a loss of coverage and |
| benefits; and, if the group coverage is |
| purchased through a producer, a notarized |
| affidavit from the producer affirming the |
| producer's belief that the employer qualifies |
| as an eligible group for coverage. |