Complete the Customer Service Request form Sections #1 and #13 along with the policy number, insured name, and policyowner taxpayer identification number.

Complete the Customer Service Request form Sections #2 and #13 along with the policy number, insured name, and policyowner taxpayer identification number.

The Surrender Value, if any, will be applied as a net single premium to provide insurance on an adjusted basis.  The amount will be that which the Surrender Value will purchase when applied as a net single premium. Complete the Customer Service Request form Sections #3 and #13 along with the policy number, insured name, and policyowner taxpayer identification number.

With the Automatic Premium Loan Provision in effect, the Company will pay any premium that is unpaid at the end of its grace period by a loan which the Company will automatically advance, if sufficient cash value exists.  To elect or cancel this option after the policy has been in force for one year, complete the Customer Service Request form Sections #5 and #13 along with the policy number, insured name, and policyowner taxpayer identification number. 

Complete the Customer Service Request form Sections #7 and #13 along with the policy number, insured name, and policyowner taxpayer identification number. 
(Note:  This cannot be used for any one year term transactions without evidence of insurability.  Contact Individual Client Services for more information regarding Dividend Option Changes.)

Complete the Customer Service Request form Sections #8 and #13 along with the policy number, insured name, and policyowner taxpayer identification number.

Complete the Customer Service Request form.  In Section #12  write ‘Change payor to: _________' including the new payor's name, address, and relationship to the insured person and #13 along with the policy number, insured name, and policyowner taxpayer identification number.

Complete the Customer Service Request form Sections #9 and #13 along with the policy number, insured name and policyowner taxpayer identification number. (the mode must coincide with the anniversary of the policy).  For policies other than universal life an additional charge will apply if premiums are paid other than annually. The additional charge varies based on the payment mode selected.  If you want to know the additional charge for the mode selected, expressed either as a dollar amount and/or APR (Annual Percentage Rate), please contact Individual Cleint Service at 1-800-765-6668. 

Complete the Customer Service Request form Sections #10 and #13 along with the policy number, insured name and policyowner taxpayer identification number.