Policyholders

If you need one of the following transactions, you may click the link to download and print the appropriate form. After printing the form, complete all applicable sections, sign it, and return it to us.

Affidavit for Lost Policy Form

Change Beneficiary Request Form

Transfer of Ownership Request Form

Change of Payor or Method of Payment Request Form

Change of School/Employer's Name and/or Address Request Form

Delete Covered Person/Reduce Covered Persons Plan Request Form