Forms

Use this form to pay your premium due using your policy's dividend or cash value.

Use this form to change the beneficiary election on your life insurance policy.

Use this form to change the ownership of your life insurance policy.

Use this form to change the Annual Planned Premium on Flexible Variable Life (FLEX V), Medallion Variable Life (MVL), Universal Life (UL), and Variable Estate Protection VEP Policies.

Use this form to claim the benefit of a life insurance policy if the insured or a covered person under the rider provision has passed away if you reside in one of the state's listed.

Use this form to claim the benefit of a life insurance policy if the insured or a covered person under the rider provision has passed away.

Use this form to collaterally assign your life insurance policy.

Use this form to update the name of the existing owner, payor, beneficiary, insured, or person on rider. Please use Ownership Change form if you wish to transfer ownership.

Use this form to elect a nonforfeiture option on your variable life insurance policy.

Use this form to change the investment options within your life insurance policy if you have a FlexV, MVL, or VLI policy.

Use this form to change the investment options within your life insurance policy if you have a Medallion Executive Variable, Medallion Variable Universal, Performance Executive Variable Universal, Performance Survivorship Variable Universal, or a Variable Estate Protection policy.

Use this form to change the investment options within your life insurance policy if you have an Accumulation, Corporate VUL, EPVUL, Protection, SPVL, Survivorship VUL, VUL, VUL Accumulator, or VUL Protector.

Use this form to withdraw your dividends from your life insurance policy.

Use this form to take a loan from your life insurance policy.

Use this form to surrender/cancel your life insurance policy.
Policy Surrender Settlement Flyer

Use this form to set up or change your automatic deduction from your bank account that is used to pay your life insurance premiums.

Reinstatement of a Life Insurance Policy: You may call our toll free number, 1-800-732-5543, to receive a reinstatement form and cost to reinstate your policy.

Use this form to request a partial withdrawal from your MVL or VEP life policy. This form is also used to withdraw the excess value from your FlexV life policy.

Use this form to add authorization for a third party to obtain information about your life insurance policy.

Use this form to request a duplicate life insurance policy if your policy was issued after 1965.