Customer Service at Your Fingertips
We pride ourselves on providing superior customer service. Please see below for the ways we can assist you online. Simply select the appropriate link to download an application or account maintenance form. Of course if you have questions or need further assistance, please don’t hesitate to give us a call.
Account Maintenance Forms
- Authorization for Electronic Funds Transfer (EFT). Use this form to have monthly premium payments automatically deducted from your checking or savings account.
- Cancellation Request Form. Use this form to cancel term life, accidental death, children’s and/or dependent coverage for an in force account. This form can also be used to cancel an application for a new term life insurance account that is not yet in force.
- Name and Address Change Request. Use this form to process a name change for the insured and/or to change the mailing address for your life and/or Accidental insurance account. Do not use this form to change the ownership of your life insurance.
- Life to 95TM
- Accidental Death – AIG
- Life for Life®
- Accidental Death – MetLife
- Life Insurance– NYL
Product-Specific Forms: Life Insurance
If you already have an insurance policy with us and would like to edit or update your beneficiary(ies), or if you need an application for a family member, please choose the appropriate product below, as the forms are specific to each underwriting partner.