Bankers Life and Casualty is one of the oldest life insurance companies in the United States. The company has been in business for over 150 years, and today offers a range of life insurance products, including term life insurance, whole life insurance, and annuities. In this blog post, we'll take a closer look at Bankers Life and Casualty's product lineup and discuss some of the pros and cons of their products. We'll also compare Bankers Life to some of the other leading life insurers in the market to help you decide if they are the right provider for you.
Question | Answer |
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Form Name | Bankers Life And Casualty Form |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | bankers life continued monthly residence form, continued monthly residence form, bankers life and casualty change of beneficiary form, bankers life proof of residentce form |
www.bankers.com |
ADDRESS CHANGE REQUEST |
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All address change requests must be submitted in writing. Use this form to request a permanent change of address. Please allow 30 days for the address change to be processed.
Policyholder’s Name: ____________________________________________
Claimant’s Name: ____________________________________________
Policy Number(s):
____________________________________________ __________________________________________
____________________________________________ __________________________________________
PLEASE CHANGE MY ADDRESS TO:
Address: ____________________________________________________________________________________
City: ___________________________________ State ____________________ Zip code ________________
Effective Date of Change:_____________________________________________
(This address change will remain in effect until further written notification is received.)
Name of person completing this form (please print): ___________________________________________
_________________________________________________ |
_______________________________________ |
Signature of Policyholder (or Legal Representative) |
Date Signed (Month/Date/Year) |
_________________________________________________ |
_______________________________________ |
Policyholder (or Legal Representative) Name (Please Print) |
Signed at (City/County/State) |
_________________________________________________
If Legal Representative, give relationship to Policyholder
(Attach a copy of your legal authority, Power Of Attorney, guardianship, etc. if applicable)
PLEASE NOTE:
This address change will affect all correspondence being sent to the policyholder by Bankers, such as: Premium Statement, Claim Checks, Explanation of Benefits (EOB).
This form must be signed and dated by the policyholder or Legal Representative in order to be considered valid. Without proper signature(s) or documentation, this document is null and void.
If you have further questions please feel free to contact our Customer Service Department at
Please mail Address Change Request Form to:
Policy Benefits Department
PO Box 1902
Carmel, IN
Or
Fax to:
18895 |
(8/12) |
Copyright © 2012 Bankers Life and Casualty Company. Chicago, IL All Rights Reserved.