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Assignment of Life Insurance
WARNING! This form permanently transfers ownership of your FEGLI insurance to another individual, trustee, or corporation (however, premiums continue to be withheld from your salary/annuity). An assignment is irrevocable, and cannot be changed later. DO NOT USE THIS FORM if you only wish to designate a beneficiary to receive your life insurance. Instead, use the available designation of beneficiary form .
For more information about assignments and designations of beneficiary, see the FEGLI Booklet on Assignments , and Designation of Beneficiary and Order of Precedence .
FEGLI enrollees use this form to assign ownership of their life insurance coverage to another person, firm, or trust; and assignees use the form to reassign the coverage.
Electronic Copies:
RI 76-10
Paper Copies:
Request a paper copy of this form from your servicing Human Resources Office.
Annuitants:
- Call toll free 1-888-767-6738 (202-606-0500 in the DC Area), or
- Send an email to [email protected] , giving the number of the form that you need and your mailing address, or
- Request a copy from a local Federal agency Human Resources Office.
COMMENTS
2. Purpose of this Agreement. The purpose of this Agreement is to provide for the irrevocable ownership assignment of an Insurance Policy(ies) to the Funeral Home in fulfillment of the obligation to pay for all or part of the future cost of the funeral arrangements. The proceeds from the Insurance Policy(ies) assigned may or may not be in an ...
Updated June 22, 2023. An insurance assignment allows a beneficiary (assignor) to transfer all or a portion of the proceeds to someone else (assignee). This is especially common with life insurance when a family does not have the money to pay for the funeral expenses and chooses to assign a portion of the decedent's life insurance proceeds to cover the funeral costs.
Security National Life Insurance Company P.O. Box 57220 Salt Lake City, Utah 84157-0220 (801) 264-1060 • Fax (866) 666-4450 • Toll Free (800) 574-7117 www.securitynationallife.com IRREVOCABLE ASSIGNMENT OF OWNERSHIP 1. IRREVOCABLE ASSIGNMENT TO FUNERAL HOME/MORTUARY. The undersigned hereby irrevocably assigns, (Note: This form does not ...
agree and the Assignee by the acceptance of this assignment agrees to the conditions and provisions of this assignment. B. The rights transferred by this Assignment include, without limitation, the following specific rights. 1. The sole right to collect from United of Omaha the net proceeds of the Policy when it becomes a claim by death or ...
II. ASSIGNMENT OF INSURANCE PROCEEDS. It is known that the Beneficiary is entitled to certain proceeds from the Insurance Company under a separate agreement with a Policy Number of _____________________ ("Insurance Proceeds"). Under this Agreement, the Beneficiary agrees to transfer: (choose one) - All of the Insurance Proceeds to the ...
A. The Assignor irrevocable assigns to the Assignee the right to collect the net proceeds of the Policy only to the extent of the cost of the funeral when such cost becomes payable by reason of death, subject on the following: 1. This assignment shall be subject to the terms of the Policy and this Irrevocable Assignment Agreement. 2.
This Assignment of Policy/Contract Death Benefits shall not become effective until 30 days after the effective date of the Policy/Contract. _____ REVOCABLE ASSIGNMENT (Must be checked if selecting Revocable Assignment.) It is expressly understood that: The named Owner of the Policy/Contract may cancel and revoke this Assignment of Policy ...
b. to obtain a loan against the life insurance policy or annuity contract. 2. It is understood, however, that although I have irrevocably waived my right to any cash surrender or loan value under the life insurance policy or annuity contract assigned and have committed all death benefits to the payment of funeral. expenses, a.
"Policy" is defined as the insurance policy, certificate or annuity contract for which I am applying. Irrevocable Assignment of Insurance/Annuity Policy National Guardian Life Insurance Company • Settlers Life Insurance Company • PO Box 1191 • Madison WI 53701-1191 Phone 800.988.0826 • Fax 608.257.2136 • www.nglic.com
A Member-Owned, Not-for-Profit Life Insurance Provider Since 1892 412.884.5100•800.765.4428 Fax: 412.884.9815•www.gbu.org Irrevocable Assignment of Select Ownership Rights Please print all information. Insured Policy No. Owner (If other than Insured) Funeral Firm
This form permanently transfers ownership of your FEGLI insurance to another individual, trustee, or corporation (however, premiums continue to be withheld from your salary/annuity). An assignment is irrevocable, and cannot be changed later. DO NOT USE THIS FORM if you only wish to designate a beneficiary to receive your life insurance. Instead ...
• If the insurance coverages that you intend to assign are part of different Group Contracts, you must complete a separate form for each Group Contract. • You may find the following definitions helpful in completing your assignment form. Absolute Assignment means the irrevocable transfer by an assignor to an assignee of all property rights ...
4. The irrevocable assignee shall be under no obligation to pay any premium or any other charges in the certificate. 5. Western Catholic Union is hereby authorized to recognize as valid this assignment and any exercise of rights by the assignee hereunder without any further investigation or inquiry on the part of Western Catholic Union.
This irrevocable assignment is made to the funeral home in order to fund a guaranteed pre-need burial contract executed on this date. 2. The Owner acknowledges that by making this agreement irrevocable, it cannot be cancelled although it does not affect the right of the Owner to cancel the insurance policy within the
Lincoln Heritage Life Insurance Company. 4343 E. Camelback Rd., Phoenix, AZ 85018 800-438-7180 602-808-0521 (fax) E-Mail - [email protected].
Page 1 of 2 IRREV ASSIGNMENT 02/2022 WESTERN CATHOLIC UNION A Fraternal Benefit Society Since 1877 510 Maine Street, Quincy, Illinois 62301 (800) 223-4928 - (217) 223-9721 - Fax (217) 223-9726 www.wculife.org IRREVOCABLE ASSIGNMENT LIFE INSURANCE OR ANNUITY CERTIFICATE INFORMATION
When you need to fill out Irrevocable Assignment Of Insurance Policy in accordance with your local state's laws and regulations, there can be a dozen or options to choose from. There's no reason to examine every form to ensure it satisfies all the legal creteria if you are a US Legal Forms subscriber. It is a reliable service that can help you ...
This Assignment shall apply to and be effective under any Policy issued by the Company in exchange for the Policy or as a renewal or conversion thereof. L. The validity of this Assignment is hereby guaranteed by each of the undersigned. M. For administration of the Policy by the Company, the effective date of this Assignment shall be the same ...
Use the "Absolute Gift Assignment to Individual" form when you want to assign insurance coverage(s) to an individual. Use the "Absolute Assignment For Value" form only if assignments for value are permitted under the Group Contract and the trustee is a viatical settlement provider. Complete the form (you must complete Part Two, and the ...
Effective 45 days from the date Forethought Life Insurance Company (Forethought) receives this form (Effective Date), I hereby irrevocably assign ownership of this Policy to the Forethought Insurance Trust (Trust). This transfer, once effective, is made for the purpose of obtaining favorable consideration of the Policy for purposes
NATIONAL SERVICE LIFE INSURANCE - An assignment may be made only in favor of the insured's widow, widower, child, father, mother, ... If the insurance is not payable in one sum, contingent beneficiaries (if any) are required to join in the assignment. VA FORM FEB 1990 29-538 EXISTING STOCK OF VA FORM 29-538, SEP 1970, WILL BE USED. 7. SIGNATURE ...
Use the "Absolute Gift Assignment to Trustee" form when you want to assign insurance coverage(s) to a trust. Use the "Absolute Assignment For Value" form only if assignments for value are permitted under the Group Contract and the trustee is a viatical settlement provider. Complete the form (you must complete Part Two, and the Assignee ...
Complete Irrevocable Assignment Of InsuranceAnnuity Policy - Nanfowler online with US Legal Forms. ... Irrevocable Assignment of Insurance/Annuity Policy National Guardian Life Insurance Company Settlers Life Insurance Company PO Box 1191 Madison WI 537011191 Phone 800.988.0826 Fax 608.257.2136 www.nglic.com. ... Forms 10/10, Features Set 10/10 ...