Request for service forms include:
- Ordering a duplicate policy
- Ordering duplicate ID Card
- Name Changes
- Address Changes
- Policy Cancellation
- Telephone Number Changes
- Payment Method Change
- Request to Reduce/Increase Benefits
IAC Medicare Supplement Forms
LifeShield Medicare Supplement Forms
Request for service forms include:
LifeShield Life Insurance Forms
Request for service forms include:
IAC Life Insurance Forms
Request for service forms include:
- Request for Service (Life Only)
- Beneficiary Change Request
- Claimants Proof of Death
- Distribution of Proceeds for Minor Beneficiary
- Electronic Direct Deposit Application for Annuity Payments
- Life Insurance Reinstatement Application – MN Only
- Life Insurance Reinstatement Application – OH Only
- Life Insurance Reinstatement Application – AR, CNMI, CO, GU, HI, IA, IL, IN, KS, KY, MI, NV, OK, TX, WA, WI, WY Only
- Release of Assignment Request – Life Only
- Request for Bank Draft Payment
- Ordinary Life Insurance Reinstatement Application MO, FSM, RMI Palau Only
- Universal Life Insurance Reinstatement Application MO, FSM, RMI, Palau Only
- Universal Life Reinstatement Application – AL Only
- Universal Life Request for Partial Surrender or Policy Loan
Pacific Group Life Forms
Request for service forms include:
- Child with disability Eligibility – FSM
- Claims Processing Report
- Distribution of Proceeds for Minor Beneficiary
- Enrollment Form – CNMI
- Enrollment Form – FSM
- Enrollment Form – RMI
- Evidence of Insurability – CNMI
- Evidence of Insurability – FSM
- Evidence of Insurability – Parent RMI
- Evidence of Insurability – Parent – Spouse Child – RMI
- Release of Assignment – CNMI
- Request for Refund – CNMI
- Request for Refund – FSM, RMI
- Waiver of Premium – RMI
