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Ownership and beneficiary designation request for life insurance policies from Genworth Life and Annuity Insurance Company Genworth Life Genworth Life and Annuity Genworth Life of New York P. Please print clearly using blue or black ink and cross through initial and date any corrections or we may not be able to accept your request. Only Genworth Life Insurance Company of New York is licensed in New York. Policy number s Use only the spaces needed.

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During the exam, your height, weight, pulse and blood pressure will be recorded. You likely will have to provide a urine sample and have blood drawn to test for health issues such as elevated cholesterol or blood sugar levels, and to screen for nicotine and drug use.

Obviously, the life insurance company will need basic information such as your name, address, phone number, date of birth, state/country of birth, citizenship, marital status, occupation (including details of job duties and salary), net worth, driver's license number and social security number.

Documents Required for Life Insurance Application Age Proof of the Proposer/Life Assured. Photo Identity Proof of the Proposer/Life Assured. Address Proof of the Proposer/LIfe Assured. Medical Examination Report of the Proposer/Life Assured.

There are three main types of permanent life insurance: whole, universal, and variable.

Genworth's life insurance forms will assist you with making changes to your index universal life, guarantee universal life, term life insurance and whole life insurance accounts.

For a life insurance policy to remain in force, the policyholder must pay a single premium upfront or pay regular premiums over time. When the insured person dies, the policy's named beneficiaries will receive the policy's face value, or death benefit.

Genworth no longer offers traditional life insurance. The company sold its life insurance business to Protective Life Insurance in 2016.

If you wish to initiate a claim on behalf of an Insured person, please contact Long Term Care Claims at 800.876. 4582. You will need the Insured person's full name, social security number, date of birth and policy or certificate number available.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232