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Whole Life Insurance Term Life Insurance Accidental Death Life Insurance For Diabetics Keeping Your Coverage
Our Story
About The Companies Our Financial Strength
Support Contact Us Report a Claim Agent Login Login/Pay
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Supplemental Policy Forms
Life Contact Center hours of operation - 8:00 AM to 6:30 PM Eastern - Monday to Friday.
Supplemental Policy Forms

CLAIM FORMS:

Claimant's Statement

 

HIPAA Authorization for Release of Medical Information

MA and NH residents will need to contact Home Office for state specific form at (800) 428-3001.

POLICYHOLDER SERVICE FORMS:

Assignment of Life Insurance Policy as Collateral Security (Owner Assignment)

Assignment of Policy Death Benefits (Assign Death Benefits to Funeral Home)

Authorization to Release Information

 

Beneficiary Change Request (Name or address change, certificate of insurance)

Life Insurance Ownership Change

Policy Loan Request

Policyowner's Signature Verification Form

Release of Interest  (Required for Community Property States)

Request for Cash Surrender/Cancellation of Life Insurance Policy

Request for Annuity Policy Values

Request for Policy Values or Policy Change

Domestic Abuse Confidential Form

BILLING FORMS:

Electronic Fund Transfer (EFT) Authorization Form

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Life Contact Center hours of operation - 8:00 AM to 6:30 PM Eastern - Monday to Friday.

Call Us

smartphone800-428-3001

Email Us

email Life.ContactCenter@unitedhomelife.com

Find Us

location_on  225 S. East Street, Indianapolis IN 46202

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