Life Insurance Forms

Claim Form - Death Benefit

You can also start your claim online by filling out a claim form. This is the
fastest way to begin a claim. Click here to start now.

Owner Change Form

Beneficiary Change

Customers can also do this any time by logging into their account and
clicking “Manage beneficiaries.” Get started here.

Payor Change Form

Customers can also change payors online. To get started log in to your
account. On the dashboard, click the “Change Payor” link.

Waiver of Premium Claim Form

Collateral Assignment Form

Release of Collateral Assignee

Juvenile Owner Change Form

Juvenile Beneficiary Change Form

Loan Request Form

AutoPay Enrollment Form

Customers can enroll quickly and easily by logging in to their account and
clicking “My Payments” 24 hours a day, seven days a week. Get started here.

Cancellation Request Form

Address Change Request Form

Customer Information Update Request Form

Survivorship Affidavit - Deceased Insured

(also available in Spanish)

Survivorship Affidavit - Deceased Beneficiary

Foreign Death Questionnaire

Evidence of Age