Get Physicians Mutual Lx511 2020-2025

The Physicians Mutual LX511 form is an essential document for requesting ownership changes for life insurance policies. This guide provides clear, step-by-step instructions on how to complete the form accurately and efficiently.

Follow the steps to successfully fill out the Physicians Mutual LX511 online.

1. Press the ‘Get Form’ button to obtain the Physicians Mutual LX511 form and open it in your chosen editor.
2. Complete the 'Current Policyowner Information' section by entering the policyowner's name, the contingent owner's name, the insured's name, and the policy number. Additionally, provide your phone number, email address, and fax number.
3. In the 'New Owner(s) Information' section, fill in the new owner's name, address, phone number, email address, date of birth, and their relationship to the insured. If applicable, also provide the contingent owner’s details in the same format.
4. If a beneficiary change is desired, complete the 'Primary Beneficiary' and 'Contingent Beneficiary' sections. Include the name, address, date of birth, SSN (if required), phone number, relationship, and allocation percentages for each beneficiary.
5. Check the Medicaid acknowledgment box if the ownership change is due to Medicaid reasons.
6. Ensure that all required signatures are provided in the 'Signatures and Acknowledgment' section. This includes the original policyowner's signature, any applicable contingent owner or spouse signatures, and the new owner and contingent owner signatures.
7. After reviewing all information for accuracy, save your changes, and the form can be downloaded or printed for submission.

Take the next step and complete your ownership change request online now.