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  • Plico/plaic 3771-gen-06 2013

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____________________________ Customer Service Office: Contract Annuitant _____________________________________________________ P.O. Box 1928 Contract Number _____________________________________________________ Birmingham, AL 35201-1928 Daytime Phone Number _________________________________________________ 1-800-621-5001 Plan Type _______________________________________________________________ Section 1: Distribution Amount Distributions may be subject to income tax and if made before age 59½ m.

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How to fill out the PLICO/PLAIC 3771-GEN-06 online

This guide provides step-by-step instructions for filling out the PLICO/PLAIC 3771-GEN-06 form online. Designed to be user-friendly, this document assists individuals in navigating the process of requesting distributions from their contracts with Protective Life Insurance Company and Protective Life and Annuity Insurance Company.

Follow the steps to correctly complete the form online.

  1. Click ‘Get Form’ button to start the process. This action allows you to access the document you need for completion.
  2. Fill in the contract owner and contract annuitant details, including their names and corresponding daytime phone number for contact purposes.
  3. In Section 1, specify the distribution amount you are requesting. Choose whether you want a full or partial distribution and indicate your preference accordingly. Be clear on whether to deduct any charges or taxes.
  4. Complete Section 3 regarding vesting instructions if necessary. This will require input from the Plan Administrator.
  5. Provide mailing instructions in Section 5, ensuring to choose whether to use the address of record or to specify a new mailing address.
  6. Carefully review the information provided in Sections 10 and 11 regarding signatures, ensuring all parties involved sign and date the document as required.

Complete your distribution request online to ensure a smooth processing of your contract.

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An IBA is an interest-bearing draft account (similar to a checking account) for your benefit. With an IBA you can receive a personal checkbook and write checks to third parties, including individuals, stores, creditors, banks, brokerage firms and other financial institutions.

The claims process Visit us online or call 1-800-424-1592. We'll need your information as well as the deceased's name, policy number or SSN, dates of birth/death, cause/manner of death, and country of death. Once your claim packet arrives, simply provide the required information.

The oldest and primary operating subsidiary, Protective Life Insurance Company, offers competitive, customizable insurance solutions to customers nationwide.

Insurance company financial strength rating RatingsA.M. BestMoody'sProtective Life Insurance CompanyA+A1West Coast Life Insurance CompanyA+A1MONY Life Insurance CompanyA+A1Protective Life and Annuity Insurance CompanyA+-1 more row

Protective Life earned 3.5 stars out of 5 for overall performance. NerdWallet's ratings are determined by our editorial team. The scoring formula takes into account consumer experience, complaint data from the National Association of Insurance Commissioners and financial strength ratings.

Richard J. Bielen, President and Chief Executive Officer In his more than 35 years of financial services experience, more than 30 of those have been with Protective.

Protective provides protection that fits your life, because we believe everyone deserves a sense of security and freedom. It's who we are and who we've always been, protecting people for more than 110 years through life insurance, asset protection and retirement products.

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