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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 8-K
CURRENT REPORT
PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
Date of Report (Date of earliest event reported): SEPTEMBER 8, 2004
HARTFORD LIFE INSURANCE COMPANY
(Exact name of registrant as specified in its charter)
CONNECTICUT 2-89516 06-0974148
(State or other jurisdiction (Commission File Number) (IRS Employer)
of incorporation) Identification No.)
200 HOPMEADOW STREET
SIMSBURY, CONNECTICUT 06089
(Address of principal executive offices)
(Zip Code)
Registrant's telephone number, including area code: (860) 547-5000
Check the appropriate box below if the Form 8-K filing is intended to
simultaneously satisfy the filing obligation of the registrant under any of the
following provisions:
/ / Written communications pursuant to Rule 425 under the Securities Act (17 CFR
230.425)
/ / Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR
240.14a-12)
/ / Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange
Act (17 CFR 240.14d-2(b))
/ / Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange
Act (17 CFR 240.13e-4(c))
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ITEM 9.01 FINANCIAL STATEMENTS AND EXHIBITS
The following documents are filed with reference to and are hereby
incorporated by reference into the Registration Statement on Form S-3 (File No.
333-112244, as amended, of Hartford Life Insurance Company, filed with the
Securities and Exchange Commission on January 27, 2004 and amended on March 16,
2004, and May 4, 2004, and July 27, 2004).
Exhibits 1.1, 4.3, 4.4, 4.5 and 4.11 hereto shall supersede and replace the
Standard Distribution Agreement Terms filed as Exhibit 1.1 to the
Registration Statement, the Form of Retail Global Note filed included as
Exhibit A-1 to the Standard Indenture Terms filed as Exhibit 4.1 to the
Registration Statement, the Form of Institutional Global Note included as
Exhibit A-2 to the Standard Indenture Terms filed as Exhibit 4.1 to the
Registration Statement, the Form of Institutional Definitive Note filed as
included as Exhibit A-3 to the Standard Indenture Terms filed as Exhibit 4.1
to the Registration Statement, and the Form of Omnibus Instrument filed as
Exhibit 4.11 to the Registration Statement, respectively.
(c) Exhibits
EXHIBIT
NUMBER DESCRIPTION
- ------- -----------
1.1 Standard Distribution Agreement Terms to be entered into between
Hartford Life Insurance Company, a Hartford Life Global Funding Trust
and the Agent(s) named therein.
4.3 Form of Retail Global Note (included as Exhibit A-1 to the Standard
Indenture Terms filed as Exhibit 4.1 to the Registration Statement).
4.4 Form of Institutional Global Note (included as Exhibit A-2 to the
Standard Indenture Terms filed as Exhibit 4.1 to the Registration
Statement).
4.5 Form of Institutional Definitive Note (included as Exhibit A-3 to the
Standard Indenture Terms filed as Exhibit 4.1 to the Registration
Statement)
4.11 Form of Omnibus Instrument.
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SIGNATURES
PURSUANT TO THE REQUIREMENTS OF THE SECURITIES EXCHANGE ACT OF 1934, THE
REGISTRANT HAS DULY CAUSED THIS REPORT TO BE SIGNED ON ITS BEHALF BY THE
UNDERSIGNED HEREUNTO DULY AUTHORIZED.
HARTFORD LIFE INSURANCE COMPANY
(REGISTRANT)
DATE: SEPTEMBER 8, 2004 BY: /s/ Ken A. McCullum
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Name: Ken A. McCullum
Title: Vice President
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EXHIBIT INDEX
EXHIBIT
NUMBER DESCRIPTION
- ------- -----------
1.1 Standard Distribution Agreement Terms to be entered into between
Hartford Life Insurance Company, a Hartford Life Global Funding Trust
and the Agent(s) named therein.
4.3 Form of Retail Global Note (included as Exhibit A-1 to the Standard
Indenture Terms filed as Exhibit 4.1 to the Registration Statement).
4.4 Form of Institutional Global Note (included as Exhibit A-2 to the
Standard Indenture Terms filed as Exhibit 4.1 to the Registration
Statement).
4.5 Form of Institutional Definitive Note (included as Exhibit A-3 to the
Standard Indenture Terms filed as Exhibit 4.1 to the Registration
Statement)
4.11 Form of Omnibus Instrument.