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A request to change beneficiary(ies) or owner requires completion of a separate form. Web use this form to request claim payment for an individual beneficiary (natural person) on a qualified athene deferred. If the contract's current beneficiary is irrevocable, that beneficiary must also approve the change.
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Athene life insurance company of new york. Beneficiary change request form (13977) verification forms you may also need: Pension plan verification form (17982) company, partnership or limited liability corporation (llc) verification (19861) trust verification request.
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Please print or type clearly. Contact us frequently asked questions. Web sign here for change of beneficiary request(s) protective life insurance company agrees that, if the policy requires endorsement or amendment for the requested change.
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Application for settlement option benefit. Pension plan verification form (17982) company, partnership or limited liability corporation (llc) verification (19861) trust verification request form (16541) Policy information policy number name of insured/annuitant name of owner name.
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Please see your contract and owner acknowledgment for more details. Web this form is to be used for a change in legal name or address only. Web sign here for change of beneficiary request(s) protective life insurance company agrees that, if the policy requires endorsement or amendment for the requested change of beneficiary, recording and mailing a copy of this form will constitute such endorsement or amendment. Please print or type clearly.
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Web beneficiary change request submit completed form to: Web if the beneficiary is changing to a trust, please submit a copy of the trust verification form. Web use this form to request claim payment for an individual beneficiary (natural person) on a qualified athene deferred. Pension plan verification form (17982) company, partnership or limited liability corporation (llc) verification (19861) trust verification request form (16541)
If The Percentages Do Not Equal 100%, The Request Will Not Be Accepted.
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