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  • Dividend/rider Withdrawal And Dividend Option Change Request

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700 Quaker Lane, P.O. Box 336 Warwick, RI 02887-0336 Dividend Withdrawal and Change of Dividend Option Request Form (See Instruction Page) Policy Number / Sales Office & FRN (Suffix) Policyowner.

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You can withdraw these dividends at any time without affecting your policy's guaranteed cash value or guaranteed death benefit. However, accumulated dividends may not be redeposited once they have been withdrawn.

Use Dividends to Purchase One-Year Term Insurance - This so-called "fifth dividend option" allows the policyowner to use the dividends to purchase one-year term insurance at net rates, usually limited to no more than the current cash value on the contract.

Yes. You can change your option any time by calling us at 800-669-8477. We can answer any questions you may have about how the dividend payment options work. Note: If you need help deciding which option to choose, you may want to talk with a financial planner.

Dividends are a partial return of premium to the insured based on the insurer's financial performance or on the insured's own loss experience.

The Cash Payment dividend option is exactly what it sounds like: A Cash Payment from the insurance company. These Cash Payments are not taxable until you receive a greater amount in dividends than what you have paid in premiums. Example: You have paid $50,000 in premiums. You can earn $50,000 in dividends tax free.

Each paid-up addition (PUA) has its own death benefit and cash value, and also earns dividends. This makes them an effective way to increase the cash value and death benefit over time without medical underwriting or increasing the premium payment.

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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
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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