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Annex V

Annex V

ANNEX V

Template for registration

1.

Date of the completion of the registration template

2.

Member State

3.

The name of the competent authority;

4.

Single contact point (name/telephone/email);

5.

Type of application (first application/change to previous application/closure of activities)

6.

PEPP registration number (if not first application)

7.

The date when a decision was taken;

8.

The name, address and, where applicable, the authorisation number of the PEPP provider in the home Member State;

9.

Where available, the legal entity identifier of the PEPP provider;

10.

The type of PEPP provider to be selected from a drop-down menu in accordance with the list in Article 6(1) of Regulation (EU) 2019/1238);

11.

The Member States where the PEPP provider intends to market the PEPP (and nature: FOS/FOE);

12.

The Member States for which the PEPP provider has opened or plans to open a sub-account;

13.

—

a description of the Basic PEPP, including any guarantees offered on the investment performance, a given level of benefits etc. and the risk-mitigating technique

—

a description of the alternative investment options, where applicable, including any guarantees offered on the investment performance, a given level of benefits etc. and the risk-mitigating technique

14.

Describe the conditions related to the modification of the investment option;

15.

—

Describe the details of the biometric risk coverage

—

Describe the triggers of the biometric risk coverage

16.

—

Describe the types of benefits offered;

—

Describe the possible forms of pay-outs;

—

Where applicable, describe the additional coverage offered (e.g. long-term care, additional biometric risks etc.) and who provides the additional coverage;

—

Describe the right to change the form of pay-out;

17.

Describe the conditions related to the portability service;

18.

Describe the conditions related to the switching service;

19.

Describe the categories of costs and total aggregate costs expressed in percentage terms and in monetary terms, where applicable;

20.

Describe the conditions related to the accumulation phase for the respective sub-account(s);

21.

Describe the conditions related to the decumulation phase for the respective sub-account(s);

22.

Where applicable, describe the conditions under which advantages or incentives granted are to be repaid to the Member State of residence of the PEPP saver;

23.

Every PEPP KID related to this PEPP, as an attachment in machine-readable format.

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