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There is even a great degree of variation between the regulations enacted in different states. The amount of regulation varies from simple registration (no real background checks) all the way through to detailed company investigations, mandatory disclosures and common forms.
If you are considering a viatical or life insurance settlement, the best way to protect yourself is to exercise common sense. Speak with multiple companies, call your state regulator, speak with your state's Better Business Bureau, etc.
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